MEDICARE: EXODUS MEDICAL TRANSPORTATION, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	3064	MA
2	343900000X	Non-emergency Medical Transport (VAN)		MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740341098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXODUS MEDICAL TRANSPORTATION, INC.

Provider Business Mailing Address
First Line	:	24 POPES FARM
Second Line	:
City	:	PLYMPTON
State	:	MA
Zip	:	02367-1532
Country	:	US
Telephone Number	:	781-585-1185
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 POPES FARM
Second Line	:
City	:	PLYMPTON
State	:	MA
Zip	:	02367-1532
Country	:	US
Telephone Number	:	781-585-1185
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DEBRA A. SILVA
Credential	:
Telephone Number	:	781-585-1185

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	09/11/2025

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