Active NPI
Marlboro Hudson Ambulance and Wheelchair Service Inc
- Land Ambulance
- Marlboro, MA
National Provider Identifier
1619013653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3036
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110031375A | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
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.