Organization Active NPI

McCall Transportation LLC

  • Ambulance
  • Dorchester, MA
National Provider Identifier
1497896104
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MCCALL TRANSPORTATION LLC
Practice address
100 Gibson St Ste 7
Dorchester, MA 02122-2648
Phone
(617) 288-7772
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stephen Lewis McCall
Title
President Ceo
Phone
(617) 288-7772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

100 Gibson St Ste 7
Dorchester, MA 02122-2648

Mailing address

100 Gibson St Ste 7
Dorchester, MA 02122-2648

Other identifiers 1

IdentifierTypeStateIssuer
1720350MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070308000299 MA Part B Supplier - Ambulance Service Supplier 2062515265 Practice locations: Dorchester, MA

National Provider Directory

National Provider Directory

Locations

100 Gibson St
Ste 7
Dorchester, MA 02122
Phone (617) 288-7100

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497896104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GIBSON ST STE 7",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021222648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GIBSON ST STE 7",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021222648",
            "telephone_number": "617-288-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCALL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "617-288-7772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720350",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.