Healthcare Provider Details

I. General information

NPI: 1770578767
Provider Name (Legal Business Name): BRIMFIELD AMBULANCE SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 09/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 WALES RD
BRIMFIELD MA
01010-9678
US

IV. Provider business mailing address

8 TURCOTTE MEMORIAL DR
ROWLEY MA
01969-1706
US

V. Phone/Fax

Practice location:
  • Phone: 413-245-7334
  • Fax:
Mailing address:
  • Phone: 800-488-4351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3876
License Number StateMA

VIII. Authorized Official

Name: LINDA COLLETTE
Title or Position: MANAGER
Credential:
Phone: 413-245-7334