Provider Demographics
NPI:1174513501
Name:ARMSTRONG AMBULANCE SERVICE
Entity type:Organization
Organization Name:ARMSTRONG AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:GALE
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARMSTRONG BRADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-648-0612
Mailing Address - Street 1:87 MYSTIC ST.
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474
Mailing Address - Country:US
Mailing Address - Phone:781-648-0612
Mailing Address - Fax:781-648-2662
Practice Address - Street 1:87 MYSTIC ST.
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474
Practice Address - Country:US
Practice Address - Phone:781-648-0612
Practice Address - Fax:781-648-2662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-26
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3210341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
702018OtherHARVARD PILGRIM
MA1700146Medicaid
000659OtherBLUE CROSS
800071OtherTUFTS HEALTH
000659Medicare ID - Type Unspecified