Organization
LOWER CAPE AMBULANCE ASSOCIATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN E RODERICK (TREASURER)
(508) 487-1733
Entity
Organization
Contact information
Practice address
24 RACE POINT RD, PROVINCETOWN, MA 02657-1528
(508) 487-1733
(508) 487-2287
Mailing address
PO BOX 161, WHITINSVILLE, MA 01588-0161
(508) 476-9740
(508) 476-9748
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096759
BCBS PROVIDER NUMBER
MA
05
—
1714864
—
MA
Enumeration date
05/25/2006
Last updated
08/22/2020
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