Provider Demographics
NPI:1851322556
Name:DORCHESTER COUNTY COMMISSIONERS
Entity Type:Organization
Organization Name:DORCHESTER COUNTY COMMISSIONERS
Other - Org Name:VIENNA VFC,INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS LIAISON
Authorized Official - Prefix:
Authorized Official - First Name:TROI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FAITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-228-2726
Mailing Address - Street 1:829 FIELDCREST RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-9423
Mailing Address - Country:US
Mailing Address - Phone:410-228-2726
Mailing Address - Fax:410-228-3494
Practice Address - Street 1:301 OLD OCEAN GATEWAY
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:MD
Practice Address - Zip Code:21869-9998
Practice Address - Country:US
Practice Address - Phone:410-228-2726
Practice Address - Fax:410-228-3494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD405602700Medicaid
MDG414OtherCAREFIRST BC/BS
MDG414OtherCAREFIRST BC/BS
MD405602700Medicaid