Provider Demographics
NPI:1598938839
Name:SAMARITAN EMS, LLC
Entity Type:Organization
Organization Name:SAMARITAN EMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CHIANCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-997-6125
Mailing Address - Street 1:82 CONCORD ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-8304
Mailing Address - Country:US
Mailing Address - Phone:617-997-6125
Mailing Address - Fax:
Practice Address - Street 1:65 SPRAGUE ST
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-2061
Practice Address - Country:US
Practice Address - Phone:617-548-1096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA30123416L0300X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)