Provider Demographics
NPI:1609866771
Name:TRINITY EMS, INC.
Entity Type:Organization
Organization Name:TRINITY EMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:CHEMALY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-441-9191
Mailing Address - Street 1:PO BOX 187
Mailing Address - Street 2:1221 WESTFORD ST
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01853-0187
Mailing Address - Country:US
Mailing Address - Phone:978-441-9191
Mailing Address - Fax:978-441-2275
Practice Address - Street 1:1221 WESTFORD ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-2702
Practice Address - Country:US
Practice Address - Phone:978-441-9191
Practice Address - Fax:978-441-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA39523416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0007620OtherNEIGHBORHOOD HEALTH PLAN
MA702142OtherHARVARD PILGRIM
MA801775OtherTUFTS
MA095659OtherBLUE CROSS
MA30005597Medicaid
MA996056OtherNETWORK HEALTH PLAN
MA1714465Medicaid
MA8100026OtherEVERCARE
MA30005597Medicaid
MA8100026OtherEVERCARE