Organization
PATHWAYS SMBULANCE SERVICE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS M CARROLL (PRESIDENT)
(508) 674-1105
Entity
Organization
Contact information
Practice address
4 INDUSTRIAL ROAD, MILFORD, MA 01757-3589
(888) 665-2475
(508) 675-9920
Mailing address
PO BOX 3000, HARTFORD, CT 06150-5000
(888) 665-2475
(508) 675-9920
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3005
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1715909
—
MA
01
—
AM0041
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/28/2006
Last updated
08/22/2020
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