GUARDIAN MEDICAL TRANSPORT INC
Complete NPI Record 1255334819
Ambulance - Land Transport in Westminster, MD

NPI Status: Active since May 27, 2005

Contact Information

85 W MAIN ST
WESTMINSTER, MD
ZIP 21157
Phone: (410) 848-8202
Fax: (410) 848-2644

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Complete NPI Dataset

This page represents the complete record for NPI 1255334819. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1255334819
The city name in the location address of the provider being identified.
Entity Type Code: 2
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: UNAVAIL
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
The country code in the location address of the provider being identified.
Provider First Line Business Mailing Address: 85 W MAIN ST
The telephone number associated with the location address of the provider being identified.
Provider Business Mailing Address City Name: WESTMINSTER
The fax number associated with the location address of the provider being identified.
Provider Business Mailing Address State Name: MD
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Mailing Address Postal Code: 211574800
The date that a record was last updated or changed.
Provider Business Mailing Address Country Code If outside U S : US
The code designating the provider’s gender if the provider is a person.
Provider Business Mailing Address Telephone Number: 4108488202
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Business Mailing Address Fax Number: 4108482644
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider First Line Business Practice Location Address: 85 W MAIN ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: WESTMINSTER
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: MD
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 211574800
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 4108488202
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 4108482644
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 5/27/2005
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 2/13/2008
The date that a record was last updated or changed.
Authorized Official Last Name: FLOREEN
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: BARBARA
The first name of the authorized official.
Authorized Official Middle Name: NOELLE
The middle name of the authorized official.
Authorized Official Title or Position: OWNER
The title or position of the authorized official.
Authorized Official Telephone Number: 4108488202
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 3416L0300X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: #113
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: MD
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: Y
Other Provider Identifier 1: J6050001
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 1: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 1: DC
Other Provider Identifier Issuer 1: BC DC/METRO
Other Provider Identifier 2: 663AGU64047101
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 2: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 2: MD
Other Provider Identifier Issuer 2: BC MD
Is Organization Subpart: N