Provider Demographics
NPI:1871019786
Name:ALL TOWN TRANSPORTATION
Entity Type:Organization
Organization Name:ALL TOWN TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BUENAVENTURA
Authorized Official - Middle Name:FRANCISCO
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-624-4211
Mailing Address - Street 1:58 GLENHAM ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-2034
Mailing Address - Country:US
Mailing Address - Phone:413-455-2818
Mailing Address - Fax:413-455-2903
Practice Address - Street 1:58 GLENHAM ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2034
Practice Address - Country:US
Practice Address - Phone:413-455-2818
Practice Address - Fax:413-455-2903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA001262941Medicaid