Provider Demographics
NPI:1376080911
Name:THE SPAULDING REHABILITATION HOSPITAL CORPORATION
Entity Type:Organization
Organization Name:THE SPAULDING REHABILITATION HOSPITAL CORPORATION
Other - Org Name:DBA SPAULDING AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:T
Authorized Official - Last Name:CHIODO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-282-0840
Mailing Address - Street 1:399 REVOLUTION DR
Mailing Address - Street 2:AR01-6-6W63.09
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02145-1446
Mailing Address - Country:US
Mailing Address - Phone:857-282-0840
Mailing Address - Fax:857-282-6662
Practice Address - Street 1:399 REVOLUTION DR
Practice Address - Street 2:AR01-6-6W63.09
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02145-1446
Practice Address - Country:US
Practice Address - Phone:852-282-0840
Practice Address - Fax:857-282-6662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-20
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance