Provider Demographics
NPI:1124180070
Name:ABINGDON FIRE COMPANY
Entity Type:Organization
Organization Name:ABINGDON FIRE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:R
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-638-3955
Mailing Address - Street 1:3306 ABINGDON RD
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-1014
Mailing Address - Country:US
Mailing Address - Phone:410-638-3955
Mailing Address - Fax:
Practice Address - Street 1:3306 ABINGDON RD
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-1014
Practice Address - Country:US
Practice Address - Phone:410-638-3955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR359OtherFEDERAL BLUE SHIELD
MDY011OtherCAREFIRST BLUE CROSS
MD7340976OtherMAMSI LIFE & HEALTH
MD944800400Medicaid
MDY011OtherCAREFIRST BLUE CROSS
MD944800400Medicaid