Provider Demographics
NPI:1063124774
Name:CARROLL COUNTY COMMISSIONERS, BOARD OF COUNTY COMMISSIONERS
Entity type:Organization
Organization Name:CARROLL COUNTY COMMISSIONERS, BOARD OF COUNTY COMMISSIONERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY ADMINSTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:WINDHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-386-2876
Mailing Address - Street 1:225 N. CENTER STREET
Mailing Address - Street 2:RM.213-DEPARTMENT OF FIRE AND EMS
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157
Mailing Address - Country:US
Mailing Address - Phone:410-386-6800
Mailing Address - Fax:
Practice Address - Street 1:225 N. CENTER STREET
Practice Address - Street 2:DEPARTMENT OF FIRE AND EMS
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157
Practice Address - Country:US
Practice Address - Phone:410-386-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance