Organization Active NPI

Marlboro Hudson Ambulance and Wheelchair Service Inc

  • Land Ambulance
  • Marlboro, MA
National Provider Identifier
1619013653
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3036 Issued in MA
Legal business name
MARLBORO HUDSON AMBULANCE AND WHEELCHAIR SERVICE INC
Practice address
401 Cedar Hill Street
Marlboro, MA 01752-3036
Phone
(978) 562-1777
Fax
(978) 562-5154
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Timothy Joseph Dorn
Title
Chief Administrative Officer
Phone
(833) 703-2294

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X 3036 MA Primary
Non-emergency Medical Transport (VAN) 343900000X 3036 MA

Addresses

Primary practice location

401 Cedar Hill Street
Marlboro, MA 01752-3036

Mailing address

PO Box 100330
Atlanta, GA 30384-0330
Phone (800) 913-9106

Other identifiers 1

IdentifierTypeStateIssuer
110031375AMedicaidMA

National Provider Directory

National Provider Directory

Locations

41 Brigham St
Marlborough, MA 01752
Phone (978) 562-1777

10 Cochituate St
Natick, MA 01760
Phone (508) 315-3911

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1619013653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100330",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840330",
            "telephone_number": "800-913-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CEDAR HILL STREET",
            "city": "MARLBORO",
            "state": "MA",
            "postal_code": "017523036",
            "telephone_number": "978-562-1777",
            "fax_number": "978-562-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLBORO HUDSON AMBULANCE AND WHEELCHAIR SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "833-703-2294"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3036",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MA",
            "license": "3036",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110031375A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.