Healthcare Provider Details

I. General information

NPI: 1093906083
Provider Name (Legal Business Name): FITCHBURG EMERGENCY MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2007
Last Update Date: 12/24/2019
Certification Date: 12/24/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BATTLES ST
LEOMINSTER MA
01453-1502
US

IV. Provider business mailing address

PO BOX 981309
BOSTON MA
02298-1309
US

V. Phone/Fax

Practice location:
  • Phone: 978-466-8883
  • Fax:
Mailing address:
  • Phone: 508-799-5999
  • Fax: 508-635-9520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3998
License Number StateMA

VIII. Authorized Official

Name: GREGORY MELEHOV
Title or Position: PRESIDENT
Credential:
Phone: 978-466-8883