1659407047 NPI number — COUNTY COMMISSIONERS ACCOUNTING OFFICE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659407047 NPI number — COUNTY COMMISSIONERS ACCOUNTING OFFICE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY COMMISSIONERS ACCOUNTING OFFICE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
URBANA VOL FIRE RESCUE CO
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659407047
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/31/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3660
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FREDERICK
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21705-3660
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-600-1308
Provider Business Mailing Address Fax Number:
301-600-1018

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5370 PUBLIC SAFETY PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FREDERICK
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21704-6728
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-600-1308
Provider Business Practice Location Address Fax Number:
301-600-1018
Provider Enumeration Date:
02/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BAILEY
Authorized Official First Name:
TAWANDA
Authorized Official Middle Name:
Authorized Official Title or Position:
AMB COORDINATOR
Authorized Official Telephone Number:
301-600-1308

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 401177500 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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