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NPI Code Detail

MEDICARE: FIRST LIGHT SERVICES LLC

MEDICARE: FIRST LIGHT SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician
2251E00000XHome Health Agency
3251J00000XNursing Care Agency
43416L0300XLand Ambulance
5343900000XNon-emergency Medical Transport (VAN)
6341600000XAmbulance

General Provider Information

NPI Number : 1689438566
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST LIGHT SERVICES LLC
Provider Business Mailing Address
First Line : 69 DILLINGHAM AVE
Second Line :
City : SANDWICH
State : MA
Zip : 02563-1956
Country : US
Telephone Number : 508-566-1800
Fax Number :
Provider Business Practice Location Address
First Line : 63 CAPE WOODS DR
Second Line :
City : EAST FALMOUTH
State : MA
Zip : 02536-4605
Country : US
Telephone Number : 508-977-7911
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. TERRY DEAN KEITH
Credential : RN, NRP
Telephone Number : 508-566-1800
Provider Enumeration Date : 02/12/2024
Last Update Date : 02/12/2024

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Directions to “FIRST LIGHT SERVICES LLC ” Practice Location

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