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Active NPI 1831556638 Organization (Entity Type 2)

Excaliber

Private Vehicle • Ware, MA

About Excaliber NPI 1831556638 Summary

Excaliber is a verified healthcare organization specializing in Private Vehicle operating in Ware, MA. Located at 9 MILNER ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1831556638.

Administrative operations and authorized compliance are overseen by Daniel Shover (Owner).

Facility Location & Contact Primary Location

Facility Address

9 Milner St

Ware, MA 010821527

Telephone 4132092515

Authorized Official Information

Authorized Contact Name

MR. Daniel Shover

Title / Role

Owner

Official Telephone

4132092515

Facility Classifications & Specialties

Private Vehicle Primary Taxonomy

NUCC Taxonomy Code: 347C00000X

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active January 25, 2016

NPI status registered as active in NPPES database

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Updated Practice Location January 25, 2016

Registered at 9 MILNER ST, WARE, MA 010821527 (Tel: 4132092515)

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Updated Business Mailing Address January 25, 2016

Registered at 9 MILNER ST, WARE, MA 010821527 (Tel: 4132092515)

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Organization / Clinic Name Updated January 25, 2016

Operating as EXCALIBER

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2016

Private Vehicle (License #S99657387 in MA)

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Initial NPI Registration & Enumeration January 25, 2016

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1831556638
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: January 25, 2016
Last Update: January 25, 2016

Mailing Address

9 Milner St

Ware, MA 010821527

Phone: 4132092515

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.