Provider Demographics
NPI:1497413124
Name:CHAPIN AMBULANCE LLC.
Entity Type:Organization
Organization Name:CHAPIN AMBULANCE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAVEL
Authorized Official - Middle Name:KONSTANHINOVICH
Authorized Official - Last Name:GUT
Authorized Official - Suffix:
Authorized Official - Credentials:MA EMTP, NRP
Authorized Official - Phone:413-636-3944
Mailing Address - Street 1:53 RAMAH CIR S
Mailing Address - Street 2:
Mailing Address - City:AGAWAM
Mailing Address - State:MA
Mailing Address - Zip Code:01001-1519
Mailing Address - Country:US
Mailing Address - Phone:413-209-8830
Mailing Address - Fax:413-342-4556
Practice Address - Street 1:53 RAMAH CIR S
Practice Address - Street 2:
Practice Address - City:AGAWAM
Practice Address - State:MA
Practice Address - Zip Code:01001-1519
Practice Address - Country:US
Practice Address - Phone:413-209-8830
Practice Address - Fax:413-342-4556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport