1801903927 NPI number — NEW ENGLAND LIFE FLIGHT, INC.

Table of content: (NPI 1801903927)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801903927 NPI number — NEW ENGLAND LIFE FLIGHT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW ENGLAND LIFE FLIGHT, 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:
BOSTON MEDFLIGHT
Provider Other Organization Name Type Code:
3
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:
1801903927
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/10/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
150 HANSCOM DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEDFORD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01730-2630
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-863-2213
Provider Business Mailing Address Fax Number:
781-863-2791

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
150 HANSCOM DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEDFORD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01730-2630
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-863-2213
Provider Business Practice Location Address Fax Number:
781-863-2791
Provider Enumeration Date:
08/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HUGHES
Authorized Official First Name:
MAURA
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
781-863-2213

Provider Taxonomy Codes

  • Taxonomy code: 3416A0800X , with the licence number:  3926 , 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: 3926 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 2206926 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 278654 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1713744 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 164830000 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 003063493 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007532 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30002801 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




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