1922185248 NPI number — ALERT AMBULANCE SERVICE, INC

Table of content: (NPI 1922185248)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922185248 NPI number — ALERT AMBULANCE SERVICE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALERT AMBULANCE SERVICE, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922185248
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/05/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1290 WILSON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FALL RIVER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02720-8604
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-665-2475
Provider Business Mailing Address Fax Number:
508-675-9920

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1290 WILSON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FALL RIVER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02720-8604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-665-2475
Provider Business Practice Location Address Fax Number:
508-675-9920
Provider Enumeration Date:
11/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BROWN
Authorized Official First Name:
LYNETTE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF BILLING
Authorized Official Telephone Number:
888-665-2475

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  3466 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3416L0300X , with the licence number: 91 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 802930 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 11485 . This is a "FALLON HEALTH PLANS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 3700430203309 . This is a "BLUE CROSS/BLUE SHIELD" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: FA026359 . This is a "BLUE CROSS/BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: MA1776 . This is a "HEALTHNET" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 9935-8 . This is a "BLUE CROSS/BLUE SHIELD" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: AA00502 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 700063 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0008777 . This is a "NEIGHBORHOOD HEALTH OF MA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 200726 . This is a "BLUECHIP" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 0000000-24568 . This is a "BMC HEALTHNET" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1713728 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




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