Provider Demographics
NPI:1851391361
Name:WOOD'S AMBULANCE INC.
Entity Type:Organization
Organization Name:WOOD'S AMBULANCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-632-6352
Mailing Address - Street 1:457 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-3018
Mailing Address - Country:US
Mailing Address - Phone:978-632-6352
Mailing Address - Fax:978-632-6318
Practice Address - Street 1:457 MAIN ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-3018
Practice Address - Country:US
Practice Address - Phone:978-632-6352
Practice Address - Fax:978-632-6318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3282341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA800349OtherTUFTS
MA01262766OtherNEW YORK MEDICAID
MAS007152OtherTRICARE
MA99908373OtherNEW HAMPSHIRE MEDICAID
MA70964OtherCIGNA
MA1701479Medicaid
MA0024374OtherUS HEALTHCARE
MA700223OtherPILGRAM HEALTHCARE
MA005259Medicare ID - Type Unspecified