Provider Demographics
NPI:1093094872
Name:MCCOOLE FIRE AND RESCUE DEPT, INC.
Entity Type:Organization
Organization Name:MCCOOLE FIRE AND RESCUE DEPT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING PROFESSIONAL
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-479-4790
Mailing Address - Street 1:PO BOX 504
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21629-0504
Mailing Address - Country:US
Mailing Address - Phone:410-479-4790
Mailing Address - Fax:410-479-4793
Practice Address - Street 1:24931 CROOKS AVE SW
Practice Address - Street 2:
Practice Address - City:MCCOOLE
Practice Address - State:MD
Practice Address - Zip Code:21562-3013
Practice Address - Country:US
Practice Address - Phone:301-786-4311
Practice Address - Fax:301-786-7890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance