{
"Npi": {
"NPI": "1538051719",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FALLON AMBULANCE SERVICES, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "81 MARMION WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROCKPORT",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01966-1928",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "617-291-9538",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "95 ELIOT ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MILTON",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "02186-3027",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "617-291-9538",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/21/2025",
"LastUpdateDate": "07/21/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FALLON",
"AuthorizedOfficialFirstName": "TIMOTHY",
"AuthorizedOfficialMiddleName": "JOHN",
"AuthorizedOfficialTitle": "OWNER/PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "617-291-9538",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}