Provider Demographics
NPI:1871629824
Name:COUNTY COMMISSIONERS ACCOUNTING OFFICE
Entity Type:Organization
Organization Name:COUNTY COMMISSIONERS ACCOUNTING OFFICE
Other - Org Name:MIDDLETOWN VOL FIRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AMB COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAWANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-600-1308
Mailing Address - Street 1:PO BOX 3660
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21705-3660
Mailing Address - Country:US
Mailing Address - Phone:301-600-1308
Mailing Address - Fax:301-600-1018
Practice Address - Street 1:5370 PUBLIC SAFETY PL
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-6728
Practice Address - Country:US
Practice Address - Phone:301-600-1308
Practice Address - Fax:301-600-1018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD401265800Medicaid
MD016SMedicare PIN