1952386153 NPI number — CATALDO AMBULANCE SERVICE INC

Table of content: (NPI 1952386153)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952386153 NPI number — CATALDO AMBULANCE SERVICE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CATALDO 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:
1952386153
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/05/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 435
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOMERVILLE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02143-0006
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-625-0126
Provider Business Mailing Address Fax Number:
617-625-0941

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
137 WASHINGTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOMERVILLE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02143-4432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-625-0126
Provider Business Practice Location Address Fax Number:
617-625-0941
Provider Enumeration Date:
12/09/2005

Additional Information

Authorized Official

Authorized Official Last Name:
CATALDO
Authorized Official First Name:
DIANA
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER TREASURER
Authorized Official Telephone Number:
617-625-0126

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  3674 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 8677 . This is a "HEALTH SOURCE" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: CA04210 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 027659 . This is a "BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1001455 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1706446 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 910295700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01666013 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 440590921 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000005410 . This is a "BOSTON MEDICAL CENTER HEA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0006899 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 003124667 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 700101 . This is a "HARVARD PILGRIM HEALTH CA" identifier . This identifiers is of the category "OTHER".
  • Identifier: S007783 . This is a "CHAMPUS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 040057 . This is a "EVERCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 800044 . This is a "TUFTS HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 996178 . This is a "NETWORK HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: XMTE06603 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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