Provider Demographics
NPI:1679609366
Name:MAYOR AND CITY COUNCIL OF BALTIMORE
Entity Type:Organization
Organization Name:MAYOR AND CITY COUNCIL OF BALTIMORE
Other - Org Name:BALTIMORE CITY FIRE DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF OF FISCAL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-396-3092
Mailing Address - Street 1:PO BOX 62826
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-2826
Mailing Address - Country:US
Mailing Address - Phone:888-447-8906
Mailing Address - Fax:914-741-1325
Practice Address - Street 1:401 E FAYETTE ST
Practice Address - Street 2:LOWER LEVEL 1
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3426
Practice Address - Country:US
Practice Address - Phone:410-396-3092
Practice Address - Fax:443-984-5011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00378183416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD590005464OtherRAILROAD MEDICARE
MD9228004 00Medicaid
MD9228004 00Medicaid