Healthcare Provider Details

I. General information

NPI: 1194706648
Provider Name (Legal Business Name): HILLTOWN COMMUNITY AMBULANCE ASSOCIATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 07/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BROMLEY RD
HUNTINGTON MA
01050-9675
US

IV. Provider business mailing address

8 TURCOTTE MEMORIAL DR
ROWLEY MA
01969-1706
US

V. Phone/Fax

Practice location:
  • Phone: 413-667-3277
  • Fax:
Mailing address:
  • Phone: 800-488-4351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3990
License Number StateMA

VIII. Authorized Official

Name: ANGELA MULKERIN
Title or Position: SERVICE DIRECTOR
Credential:
Phone: 413-667-3277