Healthcare Provider Details

I. General information

NPI: 1740299320
Provider Name (Legal Business Name): WEBSTER EMERGENCY MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 08/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 THOMPSON RD
WEBSTER MA
01570-1418
US

IV. Provider business mailing address

19 NORFOLK AVE
SOUTH EASTON MA
02375-1911
US

V. Phone/Fax

Practice location:
  • Phone: 508-943-2218
  • Fax: 508-943-7329
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 Number
License Number State

VIII. Authorized Official

Name: GARY J. MILLIARD JR.
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 508-943-2218