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NORTHSHORE AMBULANCE INC. NPI 1437104908


NPI Information

NPI: 1437104908
Provider Name: NORTHSHORE AMBULANCE, INC.

Doing Business As: NORTHSHORE AMBULANCE, INC.

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 22D2288609

Address:
63 GROVE STREET
SALEM, MA
ZIP 01970
Phone: (617) 599-4497
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NORTHSHORE AMBULANCE, INC. is a land transport ambulance in Salem, MA. NORTHSHORE AMBULANCE, INC. NPI is 1437104908. The provider is registered as an organization entity type.
The provider Is Doing Business As Northshore Ambulance, Inc..

The provider's business location address is:

63 GROVE STREET
SALEM, MA
ZIP 01970
Phone: (617) 599-4497

The provider's authorized official is Robert A Dionne .
The authorized official title is President and has the following contact phone number (617) 599-4497.

The CLIA number assigned to this NPI record is 22D2288609 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 7/14/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand Transport3920MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1041559MEDICARE ID-TYPE UNSPECIFIED
21710001MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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