FREESTATE TRANSPORTATION, LLC (NPI# 1720302052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720302052 |
Entity Type | Organization |
Organization Name | FREESTATE TRANSPORTATION, LLC |
Other Organization Name | FREESTATE AMBULANCE |
Practice Address |
832 Oregon Ave Suites K-l Linthicum MD 21090 |
Mailing Address |
Po Box 535 Baldwinsville NY 13027-0535 |
Practice Telephone | 4106092156 |
Practice Fax Number | 4106092159 |
Enumeration Date | 2010-03-15 |
Last Update Date | 2020-09-04 |
Authorized Official Name | MR. NICO MAWUN (PRESIDENT) |
Authorized Official Telephone | 7039263219 |
Authorized Official Credential | M.A |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
128 | MD | Transportation Services |
Other Name | Type Code |
---|---|
Freestate Ambulance | Doing Business As Name - Organization |
Street Address |
832 OREGON AVE SUITES K-L |
City | LINTHICUM |
State | MD |
Zip Code | 21090 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023365988 | Brian Craig Fikes | Registered Nurse | 901 Elkridge Landing Rd Ste 100, Linthicum Heights, MD 21090 | 2012-08-10 |
1922354075 | Dimension Health Care | General Acute Care Hospital | 603 Fairmeade Ct, Linthicum, MD 21090 | 2012-07-26 |
1225170806 | George Edward La Rocco | Internal Medicine | 7323 Aviation Blvd Ms 1178, Linthicum, MD 21090 | 2007-02-12 |
1700810629 | Ambumed Inc. | Clinical Medical Laboratory | 803 Barkwood Court, Ste A, Linthicum Heights, MD 21090 | 2006-07-10 |
1679521975 | Gloria Suja Domingo | Pediatrics | 809 N Hammonds Ferry Rd Ste C, Linthicum, MD 21090 | 2006-05-05 |
1063481703 | Anne Arundel Dermatology, P.a. | Specialist | 1306 Concourse Dr Ste 201, Linthicum, MD 21090 | 2006-03-15 |
1174878441 | Rebecca Lynn Sebastian | Physical Therapist | 609 Global Way, Linthicum, MD 21090 | 2012-07-23 |
1538179130 | Ettaly Franke Jobes | Pediatrics | 605 Global Way, Suite 119 Arundel Pediatrics P.a., Linthicum, MD 21090 | 2006-08-08 |
1164771762 | Maryland Specialty Surgery Center, LLC | Clinic/Center | 509 Progress Drive, Suite 100, Linthicum, MD 21090-0000 | 2012-08-29 |
1497860290 | Barry M Magnus | Family Medicine | 609 Global Way, Concentra, Linthicum, MD 21090-0001 | 2006-08-20 |
Find all providers in zip 21090 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1235645995 | Harford County Maryland | Ambulance | 2220 Ady Rd, Forest Hill, MD 21050 | 2017-12-18 |
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1477079879 | Allegany County County Commissioners | Ambulance | 701 Kelly Rd, Cumberland, MD 21502-2882 | 2017-08-17 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.