{"npi":"1316047236","type":"NPI-2","status":"active","name":{"display":"Fallon Service, Inc.","other":[],"organization_name":"FALLON SERVICE, INC.","authorised_official":"Patrick Tyler"},"specialty":{"primary_taxonomy":"3416L0300X","primary_taxonomy_description":"Land Ambulance","slug":"land-ambulance","schema_org_specialty":null,"all":[{"code":"3416L0300X","description":"Land Ambulance","primary":true,"state":"MA","license":"3020"}]},"addresses":[{"purpose":"LOCATION","street_1":"111 BROOK RD","city":"QUINCY","state":"MA","postal_code":"021696528","country_code":"US","phone":"6177452100","fax":"6178018025"},{"purpose":"MAILING","street_1":"111 BROOK RD","city":"QUINCY","state":"MA","postal_code":"021696528","country_code":"US","phone":"6177452100","fax":"6178018025"}],"license":{"state":"MA","number":"3020"},"identifiers":[{"type_code":"01","label":"Other","value":"7075","state":null,"issuer":"FALLON COMM HEALTH PLAN"},{"type_code":"01","label":"Other","value":"0006866","state":null,"issuer":"NEIGHBORHOOD (MEDICAL)"},{"type_code":"01","label":"Other","value":"0084284","state":null,"issuer":"AETNA/US HEALTHCARE"},{"type_code":"05","label":"Medicaid","value":"99908012","state":"NH","issuer":null},{"type_code":"05","label":"Medicaid","value":"145650000","state":"ME","issuer":null},{"type_code":"01","label":"Other","value":"8101364","state":null,"issuer":"UNITED HC FSF"},{"type_code":"01","label":"Other","value":"701068","state":null,"issuer":"HPHC"},{"type_code":"01","label":"Other","value":"800058","state":null,"issuer":"TUFTS"},{"type_code":"01","label":"Other","value":"996258","state":null,"issuer":"NETWORK HEALTH"},{"type_code":"01","label":"Other","value":"1001210","state":null,"issuer":"BEACON HALTH STRATEGIES"},{"type_code":"01","label":"Other","value":"590088053","state":null,"issuer":"RR PALMETTO GBA"},{"type_code":"01","label":"Other","value":"81-00004","state":null,"issuer":"EVERCARE"},{"type_code":"01","label":"Other","value":"001859","state":null,"issuer":"BLUE CROSS (INDEMNITY)"},{"type_code":"05","label":"Medicaid","value":"00597535","state":"NY","issuer":null},{"type_code":"01","label":"Other","value":"008302865","state":null,"issuer":"AETNA-EL PASO TX"},{"type_code":"05","label":"Medicaid","value":"1000183","state":"VT","issuer":null},{"type_code":"01","label":"Other","value":"81000003","state":null,"issuer":"UNITED HEALTHCARE"},{"type_code":"01","label":"Other","value":"000000005485","state":null,"issuer":"BMC HEALTHNET PLAN"},{"type_code":"05","label":"Medicaid","value":"1700383","state":"MA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20210609002640","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"MA","pac_id":"3870583610"}]},"enumeration_date":"2006-09-22","last_updated":"2014-06-03","_meta":{"source":"NPPES","snapshot_date":"2014-06-03","doc_url":"https://findmynpi.com/api"}}