Provider Demographics
NPI:1093790768
Name:TOWN OF NORTH ANDOVER
Entity Type:Organization
Organization Name:TOWN OF NORTH ANDOVER
Other - Org Name:NORTH ANDOVER FIRE DEPT.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-688-9590
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:978-356-2721
Practice Address - Street 1:795 CHICKERING RD
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-1902
Practice Address - Country:US
Practice Address - Phone:978-688-9590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-14
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3061341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000027126OtherBMC HEALTHNET PLAN
0009835OtherNEIGHBORHOOD HEALTH
MA040859OtherBLUE CROSS BLUE SHIELD
MA1709704Medicaid
701338OtherHARVARD PILGRIM
800806OtherTUFTS HEALTH PLAN
800806OtherTUFTS HEALTH PLAN
MA1709704Medicaid