Provider Demographics
NPI:1700449782
Name:HOWARD COUNTY MARYLAND
Entity Type:Organization
Organization Name:HOWARD COUNTY MARYLAND
Other - Org Name:HOWARD COUNTY DEPARTMENT OF FIRE AND RESCUE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WINSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-313-5962
Mailing Address - Street 1:PO BOX 719009
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19171-9009
Mailing Address - Country:US
Mailing Address - Phone:410-313-5962
Mailing Address - Fax:410-313-6027
Practice Address - Street 1:2201 WARWICK WAY
Practice Address - Street 2:
Practice Address - City:MARRIOTTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21104-1600
Practice Address - Country:US
Practice Address - Phone:410-313-0649
Practice Address - Fax:410-313-6027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-16
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD205230000Medicaid