Provider Demographics
NPI:1952428559
Name:STAT AMBULANCE SERVICE OF NEW ENGLAND INC
Entity Type:Organization
Organization Name:STAT AMBULANCE SERVICE OF NEW ENGLAND INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRANSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-996-9950
Mailing Address - Street 1:506 MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-3756
Mailing Address - Country:US
Mailing Address - Phone:508-996-9950
Mailing Address - Fax:508-996-2607
Practice Address - Street 1:506 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-3756
Practice Address - Country:US
Practice Address - Phone:508-996-9950
Practice Address - Fax:508-996-2607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3953341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1714988Medicaid
MA095459Medicare ID - Type UnspecifiedPROVIDER NUMBER