Provider Demographics
NPI:1194706648
Name:HILLTOWN COMMUNITY AMBULANCE ASSOCIATION INC
Entity type:Organization
Organization Name:HILLTOWN COMMUNITY AMBULANCE ASSOCIATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SERVICE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MULKERIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-667-3277
Mailing Address - Street 1:8 TURCOTTE MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1706
Mailing Address - Country:US
Mailing Address - Phone:800-488-4351
Mailing Address - Fax:
Practice Address - Street 1:1 BROMLEY RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:MA
Practice Address - Zip Code:01050-9675
Practice Address - Country:US
Practice Address - Phone:413-667-3277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-10
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3990341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00074081OtherRR MEDICARE
MA1720481Medicaid
P00074081OtherRR MEDICARE
MA102359OtherBCBS
MA1720481Medicaid
AA2594OtherHARVARD PILGRIM
696476OtherTUFTS HEALTH PLAN