Provider Demographics
NPI:1821046657
Name:QUALITY AMBULANCE SERVICE
Entity Type:Organization
Organization Name:QUALITY AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:H
Authorized Official - Last Name:GULLY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:508-793-9000
Mailing Address - Street 1:25A TOWN FOREST RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01540-2845
Mailing Address - Country:US
Mailing Address - Phone:508-793-9000
Mailing Address - Fax:508-987-2318
Practice Address - Street 1:25A TOWN FOREST RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MA
Practice Address - Zip Code:01540-2845
Practice Address - Country:US
Practice Address - Phone:508-793-9000
Practice Address - Fax:508-987-2318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA39873416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport