Provider Demographics
NPI:1902901804
Name:ACTION AMBULANCE SERVICE INC
Entity Type:Organization
Organization Name:ACTION AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, PATIENT ACCOUNTS
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:STEPHANIE
Authorized Official - Last Name:NOWAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-253-2641
Mailing Address - Street 1:1 JEWEL DR STE 3
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01887-3386
Mailing Address - Country:US
Mailing Address - Phone:978-253-2634
Mailing Address - Fax:978-253-2567
Practice Address - Street 1:1 JEWEL DR STE 3
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887-3386
Practice Address - Country:US
Practice Address - Phone:978-253-2634
Practice Address - Fax:978-253-2567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3613341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA800129OtherTUFTS
MA1705857Medicaid
MA441590269OtherRR MEDICARE
MA700439OtherHARVARD PILGRIM
MA027759OtherBLUE CROSS