Provider Demographics
NPI:1164973046
Name:TOWN OF TYNGSBOROUGH
Entity Type:Organization
Organization Name:TOWN OF TYNGSBOROUGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:MADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-649-7671
Mailing Address - Street 1:26 KENDALL RD
Mailing Address - Street 2:
Mailing Address - City:TYNGSBORO
Mailing Address - State:MA
Mailing Address - Zip Code:01879-1013
Mailing Address - Country:US
Mailing Address - Phone:978-649-7671
Mailing Address - Fax:978-649-2301
Practice Address - Street 1:26 KENDALL RD
Practice Address - Street 2:
Practice Address - City:TYNGSBORO
Practice Address - State:MA
Practice Address - Zip Code:01879-1013
Practice Address - Country:US
Practice Address - Phone:978-649-7671
Practice Address - Fax:978-649-2301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance