Provider Demographics
NPI:1205829363
Name:TOWN OF BELCHERTOWN
Entity Type:Organization
Organization Name:TOWN OF BELCHERTOWN
Other - Org Name:BELCHERTOWN EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:BANNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-323-0400
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 1:2 JABISH ST
Practice Address - Street 2:
Practice Address - City:BELCHERTOWN
Practice Address - State:MA
Practice Address - Zip Code:01007-9840
Practice Address - Country:US
Practice Address - Phone:413-323-0400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-24
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA33313416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA803128OtherTUFTS HEALTH PLAN
MA0013457OtherNEIGHBORHOOD HEALTH
MA035059OtherBLUE CROSS BLUE SHIELD
MA13888OtherFALLON
MA441590776OtherRR MEDICARE
MA1708279Medicaid
MA000000021274OtherBMC HEALTHNET PLAN
MA700676OtherHARVARD PILGRIM HEALTHCAR
MA13888OtherFALLON