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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 3416L0300X | Ambulance | Land Transport | 91 | RHODE ISLAND | No |
| 2 | 3416L0300X | Ambulance | Land Transport | 3466 | MASSACHUSETTS | Yes |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1713728 | MEDICAID | MASSACHUSETTS | |
| 2 | FA026359 | OTHER | MASSACHUSETTS | BLUE CROSS/BLUE SHIELD |
| 3 | 0008777 | OTHER | MASSACHUSETTS | NEIGHBORHOOD HEALTH OF MA |
| 4 | 11485 | OTHER | MASSACHUSETTS | FALLON HEALTH PLANS |
| 5 | 802930 | OTHER | MASSACHUSETTS | TUFTS HEALTH PLAN |
| 6 | 3700430203309 | OTHER | CONNECTICUT | BLUE CROSS/BLUE SHIELD |
| 7 | AA00502 | MEDICAID | RHODE ISLAND | |
| 8 | 0000000-24568 | OTHER | MASSACHUSETTS | BMC HEALTHNET |
| 9 | 700063 | OTHER | MASSACHUSETTS | HARVARD PILGRIM |
| 10 | 200726 | OTHER | RHODE ISLAND | BLUECHIP |
| 11 | MA1776 | OTHER | MASSACHUSETTS | HEALTHNET |
| 12 | 9935-8 | OTHER | RHODE ISLAND | BLUE CROSS/BLUE SHIELD |