Organization Name: | WEST BROOKFIELD RESCUE SQUAD, INC. |
NPI Number: | 1619156809 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL LUPACCHINO (PRESIDENT) |
Mailing Address: | 3 Cottage St West Brookfield |
State: | MA US |
Postal Code: | 01585 |
Phone Number: | 5088673319 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2007 |
NPI Last Update Date: | 08/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 3319 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |