Provider Demographics
NPI:1114904216
Name:TOWN OF ORANGE
Entity Type:Organization
Organization Name:TOWN OF ORANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ANNEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-544-1132
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 1:18 WATER ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:MA
Practice Address - Zip Code:01364-1224
Practice Address - Country:US
Practice Address - Phone:978-544-1132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-29
Last Update Date:2013-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3299341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1701223Medicaid
000000022261OtherBMC HEALTHNET
700337OtherHARVARD PILGRIM
803241OtherTUFTS HEALTH
7160OtherFALLON
0006864OtherNEIGHBORHOOD HEALTH
MA011659OtherBLUE CROSS BLUE SHIELD
590009600OtherRR MEDICARE
803241OtherTUFTS HEALTH