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EASTERN AMBULANCE SERVICE, LLC
NPI 1336172790
Ambulance - Land Transport in Woburn, MA

Active since July 09, 2006
12 WALNUT HILL PARK, WOBURN, MA 01801(781) 569-6003(781) 569-6007 Get Directions Write a Review

NPPES record last updated: February 24, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eastern Ambulance Service, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN AMBULANCE SERVICE, LLC (NPI 1336172790) is a healthcare organization registered as a land transport in Woburn, Massachusetts and active in the NPI registry since July 2006. The organization lists Henry J Fackovec, President, as its authorized official.

NPPES Registry Identity

NPI1336172790
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameEASTERN AMBULANCE SERVICE, LLC
Location Address12 WALNUT HILL PARKWoburn, MA 01801-3714
Mailing AddressPo Box 3009Woburn, MA 01888-1809 · (781) 569-6003 · Fax (781) 569-6007
Phone(781) 569-6003
Fax(781) 569-6007
Organization SubpartNo
Authorized OfficialHenry J FackovecPresident · (781) 569-6003
Enumeration DateJuly 9, 2006
Last NPPES UpdateFebruary 24, 2009
✔ NPI 1336172790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in MA · 3994
12 WALNUT HILL PARK, Woburn, MA 01801
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Other Identifiers 3

Medicaid1719289MA
Medicare PINP00461270MA
Medicare PINAM0228MA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern Ambulance Service, LLC's NPI number?

The NPI number for Eastern Ambulance Service, LLC is 1336172790. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is Eastern Ambulance Service, LLC located?

Eastern Ambulance Service, LLC is located at 12 Walnut Hill Park, Woburn, MA 01801. The listed phone number is (781) 569-6003.

What is Eastern Ambulance Service, LLC's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

When was this NPI record last updated?

The NPPES record for Eastern Ambulance Service, LLC was last updated on February 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.