Organization
COMMONWEALTH AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS DUNLAY JR. (CCO OWNER)
(781) 449-6814
Entity
Organization
Contact information
Practice address
150 WEST ST, NEEDHAM HEIGHTS, MA 02494
(781) 449-6814
(781) 449-6874
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027
(315) 635-1789
(315) 635-3289
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3042
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720287
—
MA
01
—
Q00234
BCBS OF MA
—
Enumeration date
07/23/2006
Last updated
08/22/2020
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