Organization
PALMER AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY T GENTILE (AUTHORIZED AGENT)
(860) 257-9201
Entity
Organization
Contact information
Practice address
SHEARER STREET EXT, PALMER, MA 01069-1400
(413) 283-2983
(413) 283-2934
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(860) 257-9201
(860) 721-6362
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3923
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710664
—
MA
01
—
590014896
RAILROAD MEDICARE
MA
Enumeration date
10/26/2005
Last updated
03/18/2009
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