Provider Demographics
NPI:1144207242
Name:TOWN OF OAKHAM
Entity Type:Organization
Organization Name:TOWN OF OAKHAM
Other - Org Name:OAKHAM FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT TO THE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-882-5218
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 1:178 BARRE RD
Practice Address - Street 2:
Practice Address - City:OAKHAM
Practice Address - State:MA
Practice Address - Zip Code:01068-9713
Practice Address - Country:US
Practice Address - Phone:508-882-5555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-29
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3297341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA078459OtherBLUE CROSS BLUE SHIELD
755154OtherTUFTS HEALTH PLAN
590013150OtherRR MEDICARE
MA1715232Medicaid
702639OtherHARVARD PILGRIM
702639OtherHARVARD PILGRIM