Provider Demographics
NPI:1073502852
Name:TOWN OF DEERFIELD
Entity Type:Organization
Organization Name:TOWN OF DEERFIELD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBULANCE DEPARTMENT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMOJSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:431-665-8814
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:800-488-4351
Mailing Address - Fax:
Practice Address - Street 1:8 CONWAY ST
Practice Address - Street 2:
Practice Address - City:S DEERFIELD
Practice Address - State:MA
Practice Address - Zip Code:01373-1021
Practice Address - Country:US
Practice Address - Phone:431-665-8814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3375341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
806288OtherTUFTS HEALTH PLAN
MA1715992Medicaid
704113OtherHARVARD PILGRIM
000000026643OtherBMC HEALTHNET PLAN
MA1715992Medicaid