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 | | | No |
| 2 | 3416L0300X | Ambulance | Land Transport | 3475 | 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 | 085859 | OTHER | | BCBS CAMP HILL PA |
| 2 | 085859 | OTHER | | BCBS CHICAGO IL |
| 3 | 085859 | OTHER | | BCBS CLEVELAND OH |
| 4 | 085859 | OTHER | | BCBS DETROIT MI POB 2500 |
| 5 | 700134 | OTHER | | HARVARD PILGRIM HEALTH |
| 6 | 0084274 | OTHER | | AETNA BLUE BELL |
| 7 | 085859 | OTHER | | ANTHEM BCBS NORTH HAVEN |
| 8 | 085859 | OTHER | | BCBS COLUMBUS GA |
| 9 | 085859 | OTHER | | BCBS DURHAM NC |
| 10 | 800793 | OTHER | | TUFTS HEALTH PLAN |
| 11 | 1713094 | MEDICAID | MASSACHUSETTS | |
| 12 | 085859 | OTHER | | BCBS BIRMINGHAM AL |
| 13 | 085859 | OTHER | | BCBS ALBANY NY |
| 14 | 085859 | OTHER | | BCBS COLUMBIA SC |
| 15 | 085859 | OTHER | | BCBS CHATANOOGA TN |
| 16 | 085859 | OTHER | | BCBS BUFFALO NY |
| 17 | 085859 | OTHER | | BCBS DATA CAPTURE |
| 18 | 085859 | OTHER | | BCBS DETROIT MI POB 166 |
| 19 | 110031154 | MEDICAID | MASSACHUSETTS | |
| 20 | 085859 | OTHER | | BCBS DALLAS TX |
