Provider Demographics
NPI:1033197256
Name:TOWN OF RICHMOND
Entity Type:Organization
Organization Name:TOWN OF RICHMOND
Other - Org Name:RICHMOND FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-531-8837
Mailing Address - Street 1:PO BOX 64
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:MA
Mailing Address - Zip Code:01254-0064
Mailing Address - Country:US
Mailing Address - Phone:413-531-8837
Mailing Address - Fax:
Practice Address - Street 1:35 FIREHOUSE LANE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:MA
Practice Address - Zip Code:01254
Practice Address - Country:US
Practice Address - Phone:413-531-8837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-06
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3361341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000027251OtherBMC HEALTHNET PLAN
806552OtherTUFTS HEALTH
MA1715143Medicaid
704025OtherHARVARD PILGRIM
590006058OtherRR MEDICARE
MA015759OtherBLUE CROSS BLUE SHIELD
MA015759OtherBLUE CROSS BLUE SHIELD