Provider Demographics
NPI:1043298730
Name:TOWN OF PLYMPTON
Entity Type:Organization
Organization Name:TOWN OF PLYMPTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-585-2633
Mailing Address - Street 1:8 TURCOTTE MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1706
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3 PALMER RD
Practice Address - Street 2:
Practice Address - City:PLYMPTON
Practice Address - State:MA
Practice Address - Zip Code:02367-1110
Practice Address - Country:US
Practice Address - Phone:781-585-2633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3024341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA101359OtherBLUE CROSS BLUE SHIELD
704598OtherHARVARD PILGRIM
690913OtherTUFTS HEALTH PLAN
000000026204OtherBMC HEALTHNET PLAN
MA1720147Medicaid
704598OtherHARVARD PILGRIM
MA1720147Medicaid