Fallon Service, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3020 Issued in MA

Legal business name

FALLON SERVICE, INC.

Doing business as

Fallon Ambulance Service

Practice address

111 Brook Rd
Quincy, MA 02169-6528

Phone

(617) 745-2100

Fax

(617) 801-8025

NPI assigned

Sep 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Patrick Sean Tyler, MBA, MS

Title

Evp & Coo

Phone

(617) 745-2100

Specialties & licenses 1

Addresses

Other identifiers 19

Other names 1

• Fallon Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Fallon Emergency Medical Services, Inc.

  • Land Ambulance
  • Quincy, MA
  • NPI 1225282619

  Member Of

  NPD member

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Fallon Emergency Medical Services, Inc.

  • Land Ambulance
  • Quincy, MA
  • NPI 1225282619
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1316047236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BROOK RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696528",
            "telephone_number": "617-745-2100",
            "fax_number": "617-801-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BROOK RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696528",
            "telephone_number": "617-745-2100",
            "fax_number": "617-801-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLON SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "EVP & COO",
        "authorized_official_telephone_number": "617-745-2100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, MS"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMM HEALTH PLAN",
            "identifier": "7075",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD (MEDICAL)",
            "identifier": "0006866",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "0084284",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99908012",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145650000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HC FSF",
            "identifier": "8101364",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "701068",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "800058",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "996258",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HALTH STRATEGIES",
            "identifier": "1001210",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR PALMETTO GBA",
            "identifier": "590088053",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "81-00004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS (INDEMNITY)",
            "identifier": "001859",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00597535",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-EL PASO TX",
            "identifier": "008302865",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000183",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "81000003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET PLAN",
            "identifier": "000000005485",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700383",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fallon Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Quincy, MA
• Providers in Quincy, MA by specialty
• Land Ambulance in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.