Provider Demographics
NPI:1134930837
Name:ADVANCED CARE TRANSPORTATION OF MARYLAND LLC
Entity type:Organization
Organization Name:ADVANCED CARE TRANSPORTATION OF MARYLAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:DUMAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-539-8469
Mailing Address - Street 1:4061 POWDER MILL RD # 105-7
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-3149
Mailing Address - Country:US
Mailing Address - Phone:904-539-8469
Mailing Address - Fax:
Practice Address - Street 1:4061 POWDER MILL RD # 105-7
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-3149
Practice Address - Country:US
Practice Address - Phone:904-539-8469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)