Organization
GUARDIAN AMBULANCE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL KELLEY (PRESIDENT)
(978) 686-1199
Entity
Organization
Contact information
Practice address
37 MARSTON ST, LAWRENCE, MA 01841-2312
(800) 927-1315
(978) 887-1176
Mailing address
37 MARSTON ST, LAWRENCE, MA 01841-2312
(800) 928-1315
(978) 887-1176
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3984
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009001
NEIGHBORHOOD HEALTH PLAN
MA
01
—
095359
BLUE CROSS PROVIDER NUMBE
MA
05
—
1714708
—
MA
Enumeration date
01/26/2007
Last updated
05/12/2008
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