Provider Demographics
NPI:1437373503
Name:CONCERN COMPANY, INC.,
Entity Type:Organization
Organization Name:CONCERN COMPANY, INC.,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YAROSLAV
Authorized Official - Middle Name:G
Authorized Official - Last Name:BOYKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-592-9202
Mailing Address - Street 1:45 LONGWOOD AVE
Mailing Address - Street 2:SUITE 806
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5244
Mailing Address - Country:US
Mailing Address - Phone:617-592-9202
Mailing Address - Fax:617-507-8410
Practice Address - Street 1:45 LONGWOOD AVE
Practice Address - Street 2:SUITE 806
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5244
Practice Address - Country:US
Practice Address - Phone:617-592-9202
Practice Address - Fax:617-507-8410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1700057Medicaid