Provider Demographics
NPI:1366505919
Name:NORTH EAST FIRE CO INC
Entity Type:Organization
Organization Name:NORTH EAST FIRE CO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DEAMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-287-8222
Mailing Address - Street 1:210 S MAULDIN AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH EAST
Mailing Address - State:MD
Mailing Address - Zip Code:21901-4028
Mailing Address - Country:US
Mailing Address - Phone:410-287-8222
Mailing Address - Fax:410-287-6913
Practice Address - Street 1:210 S MAULDIN AVE
Practice Address - Street 2:
Practice Address - City:NORTH EAST
Practice Address - State:MD
Practice Address - Zip Code:21901-4028
Practice Address - Country:US
Practice Address - Phone:410-287-8222
Practice Address - Fax:410-287-6913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2017-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDN799OtherFEDERAL BLUE SHIELD
MD543208100Medicaid
MD109015OtherHEALTH AMERICA
MDZ331OtherCAREFIRST BLUE CROSS
MDZ331OtherCAREFIRST BLUE CROSS
MD512RMedicare PIN