Provider Demographics
NPI:1063451409
Name:TOWN OF DENNIS
Entity Type:Organization
Organization Name:TOWN OF DENNIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:DELLNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-326-5071
Mailing Address - Street 1:9 MAIN ST
Mailing Address - Street 2:SUITE 2K
Mailing Address - City:SUTTON
Mailing Address - State:MA
Mailing Address - Zip Code:01590-1660
Mailing Address - Country:US
Mailing Address - Phone:508-476-9740
Mailing Address - Fax:508-476-9748
Practice Address - Street 1:883 MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST DENNIS
Practice Address - State:MA
Practice Address - Zip Code:02670-2823
Practice Address - Country:US
Practice Address - Phone:508-398-2242
Practice Address - Fax:508-398-5925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA098659OtherBCBS PROVIDER NUMBER
MA1715429Medicaid
MA098659Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER