Provider Demographics
NPI:1689438566
Name:FIRST LIGHT SERVICES LLC
Entity Type:Organization
Organization Name:FIRST LIGHT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:KEITH
Authorized Official - Suffix:
Authorized Official - Credentials:RN, NRP
Authorized Official - Phone:508-566-1800
Mailing Address - Street 1:69 DILLINGHAM AVE
Mailing Address - Street 2:
Mailing Address - City:SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02563-1956
Mailing Address - Country:US
Mailing Address - Phone:508-566-1800
Mailing Address - Fax:
Practice Address - Street 1:63 CAPE WOODS DR
Practice Address - Street 2:
Practice Address - City:EAST FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02536-4605
Practice Address - Country:US
Practice Address - Phone:508-977-7911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes341600000XTransportation ServicesAmbulance
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)