Provider Demographics
NPI:1912989450
Name:HINSDALE VOLUNTEER FIREMENS ASSOCIATION INC.
Entity Type:Organization
Organization Name:HINSDALE VOLUNTEER FIREMENS ASSOCIATION INC.
Other - Org Name:HINSDALE AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:PIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-448-4642
Mailing Address - Street 1:8 TURCOTTE MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1706
Mailing Address - Country:US
Mailing Address - Phone:800-488-4351
Mailing Address - Fax:
Practice Address - Street 1:134 MAPLE STREET
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:MA
Practice Address - Zip Code:02135
Practice Address - Country:US
Practice Address - Phone:413-488-4642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-18
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3356341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
097859OtherBCBS
MA1715127Medicaid
805946OtherTUFTS HEALTH PLAN
59001474OtherRR MEDICARE
703963OtherHARVARD PILGRIM
0019168OtherNEIGHBORHOOD HEALTH
000000025499OtherBMC HEALTHNET PLAN
000000025499OtherBMC HEALTHNET PLAN
=========OtherTRICARE