Provider Demographics
NPI:1639172596
Name:ALLIED AMBULANCE SERVICE INC
Entity Type:Organization
Organization Name:ALLIED AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:F
Authorized Official - Last Name:QUILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-844-7874
Mailing Address - Street 1:308 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-6160
Mailing Address - Country:US
Mailing Address - Phone:781-498-9400
Mailing Address - Fax:781-498-9404
Practice Address - Street 1:308 MAIN ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-6160
Practice Address - Country:US
Practice Address - Phone:781-498-9400
Practice Address - Fax:781-498-9404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance