Provider Demographics
NPI:1558349183
Name:REHOBOTH AMBULANCE COMMITTEE, INC
Entity Type:Organization
Organization Name:REHOBOTH AMBULANCE COMMITTEE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:MEAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-252-2318
Mailing Address - Street 1:8 TURCOTTE MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1706
Mailing Address - Country:US
Mailing Address - Phone:800-488-4351
Mailing Address - Fax:978-356-2721
Practice Address - Street 1:334 ANAWAN ST
Practice Address - Street 2:
Practice Address - City:REHOBOTH
Practice Address - State:MA
Practice Address - Zip Code:02769-2620
Practice Address - Country:US
Practice Address - Phone:508-252-2318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-04
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3438341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
590012971OtherRR MEDICARE
700377OtherHARVARD PILGRIM
MA035859OtherBLUE CROSS BLUE SHIELD
RIRA01020Medicaid
0017672OtherNEIGHBORHOOD HEALTH
MA1714848Medicaid
000000025310OtherBMC HEALTHNET PLAN
RI000009953-6OtherBLUE CROSS BLUE SHIELD
203011OtherBLUE CHIP
803006OtherTUFTS HEALTH PLAN
000000025310OtherBMC HEALTHNET PLAN