Provider Demographics
NPI:1962229807
Name:EPOCH AMBULANCE
Entity type:Organization
Organization Name:EPOCH AMBULANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERNST
Authorized Official - Middle Name:
Authorized Official - Last Name:APPOLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-709-6317
Mailing Address - Street 1:1 CENTRAL ST UNIT 13
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-7000
Mailing Address - Country:US
Mailing Address - Phone:781-709-6317
Mailing Address - Fax:
Practice Address - Street 1:640 SPRINGFIELD ST
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01013-2852
Practice Address - Country:US
Practice Address - Phone:413-331-0232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport