OrganizationActive
Eastern Ambulance Service, LLC
NPI 1336172790 · Land Ambulance · Woburn, MA
Provider details
- NPI number
- 1336172790
- Entity type
- Organization
- Primary specialty
- Land AmbulanceTransportation Services
- Organization subpart
- No
- Authorized official
- Henry Fackovec, President(781) 569-6003
- License
- 3994 (MA)
Specialties & taxonomies
Transportation Services
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12 Walnut Hill Park
Woburn, MA 01801-3714
Phone: (781) 569-6003
Fax: (781) 569-6007
Street-level locationGet directions
Mailing address
Po Box 3009
Woburn, MA 01888-1809
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2009-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.