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Contact Information

COLRAIN VOL AMB ASSOC, INC
51 MAIN RD
COLRAIN, MA01340-5501
 Phone: 413-624-5528
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for COLRAIN VOL AMB ASSOC, INC

NPI Number 1205823085
LBN Legal business name COLRAIN VOL AMB ASSOC, INC
Authorized official GARY PONCE - (CEO/DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2005
Last updated 02/28/2013 - About 13 years ago
Identifiers
MA License # 3369
MA Medicaid 1715585
Other 000000027770 BMC HEALTHNET PLAN
Other MH1050 HARVARD PILGRIM
Other 590012303 RR MEDICARE
Other 042349458 TRICARE
Other 807136 TUFTS HEALTH PLAN
MA Other 076259 BLUE CROSS BLUE SHEILD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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