Provider Demographics
NPI:1376559138
Name:HEALTH TECH AMBULANCE SERVICE
Entity Type:Organization
Organization Name:HEALTH TECH AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:S
Authorized Official - Last Name:HOVEY
Authorized Official - Suffix:
Authorized Official - Credentials:EMT/PARAMEDIC
Authorized Official - Phone:978-470-0391
Mailing Address - Street 1:22R DALE ST
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-5618
Mailing Address - Country:US
Mailing Address - Phone:978-470-0391
Mailing Address - Fax:978-470-0834
Practice Address - Street 1:22R DALE ST
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-5618
Practice Address - Country:US
Practice Address - Phone:978-470-0391
Practice Address - Fax:978-470-0834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3041341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1720180Medicaid
MA1720180Medicaid