Provider Demographics
NPI:1952386153
Name:CATALDO AMBULANCE SERVICE INC
Entity Type:Organization
Organization Name:CATALDO AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CATALDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-625-0126
Mailing Address - Street 1:PO BOX 435
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-0006
Mailing Address - Country:US
Mailing Address - Phone:617-625-0126
Mailing Address - Fax:617-625-0941
Practice Address - Street 1:137 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02143-4432
Practice Address - Country:US
Practice Address - Phone:617-625-0126
Practice Address - Fax:617-625-0941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-09
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA36743416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH8677OtherHEALTH SOURCE
RICA04210Medicaid
027659OtherBLUE CROSS BLUE SHIELD
VT1001455Medicaid
MA1706446Medicaid
FL910295700Medicaid
NY01666013Medicaid
440590921OtherRAILROAD MEDICARE
000000005410OtherBOSTON MEDICAL CENTER HEA
MA0006899OtherNEIGHBORHOOD HEALTH PLAN
CT003124667Medicaid
700101OtherHARVARD PILGRIM HEALTH CA
S007783OtherCHAMPUS
040057OtherEVERCARE
800044OtherTUFTS HEALTH PLAN
996178OtherNETWORK HEALTH
CAXMTE06603Medicaid
FL910295700Medicaid