Healthcare Provider Details

I. General information

NPI: 1982089355
Provider Name (Legal Business Name): ARROW MEDICAL TRANSPORTATION SERVICES OF SPRINGFIELD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2015
Last Update Date: 07/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

279 DICKINSON ST
SPRINGFIELD MA
01108-1849
US

IV. Provider business mailing address

279 DICKINSON ST
SPRINGFIELD MA
01108-1849
US

V. Phone/Fax

Practice location:
  • Phone: 413-222-5164
  • Fax:
Mailing address:
  • Phone: 413-222-5164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License NumberS60860578
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberS60860578
License Number StateMA

VIII. Authorized Official

Name: MR. KENNETH COLLINS
Title or Position: OWNER
Credential:
Phone: 413-222-5164