Healthcare Provider Details

I. General information

NPI: 1396746475
Provider Name (Legal Business Name): ADAMS AMBULANCE SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 08/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 COLUMBIA ST
ADAMS MA
01220-1303
US

IV. Provider business mailing address

19 NORFOLK AVE
SOUTH EASTON MA
02375-1911
US

V. Phone/Fax

Practice location:
  • Phone: 413-743-4783
  • Fax:
Mailing address:
  • Phone: 508-297-2068
  • Fax: 508-297-2699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3350
License Number StateMA

VIII. Authorized Official

Name: MICHAEL GLEASON
Title or Position: GENERAL MANAGER
Credential:
Phone: 413-743-4783