Eastern Ambulance Service, Llc

LBN: Eastern Ambulance Service, Llc
Eastern Ambulance Service, Llc is an health care organization with primary practice located at 12 Walnut Hill Park , Woburn MA 01801-3714. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Eastern Ambulance Service, Llc can be contacted via phone (781) 569-6003, or through Fackovec, Henry J via phone (781) 569-6003.

Contact Information

Primary practice address
12 Walnut Hill Park Woburn MA 01801-3714
Phone: (781) 569-6003
Fax: (781) 569-6007
Website:
Map and Directions
Authorized official contact:
Name: Fackovec, Henry J
Phone: (781) 569-6003

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 3994 Massachusetts

Profile Details

NPI number 1336172790
LBN Legal business name Eastern Ambulance Service, Llc
DBA Doing business as
Authorized official Fackovec, Henry J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Feb 24th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336172790 NPPES
Massachusetts MEDICAID 1719289

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