Provider Demographics
NPI:1851486682
Name:CAPE COD MEDICAL ENTERPRISES INC
Entity Type:Organization
Organization Name:CAPE COD MEDICAL ENTERPRISES INC
Other - Org Name:CAPE COD AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEO
Authorized Official - Middle Name:F
Authorized Official - Last Name:GILDEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-775-0494
Mailing Address - Street 1:PO BOX 292
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH PORT
Mailing Address - State:MA
Mailing Address - Zip Code:02675
Mailing Address - Country:US
Mailing Address - Phone:508-775-0494
Mailing Address - Fax:508-790-0396
Practice Address - Street 1:57 MID TECH DR
Practice Address - Street 2:
Practice Address - City:WEST YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02673
Practice Address - Country:US
Practice Address - Phone:508-775-0494
Practice Address - Fax:508-790-0396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
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