Provider Demographics
NPI:1235128737
Name:MASSACHUSETTS DEVELOPMENT FINANCE AGENCY
Entity Type:Organization
Organization Name:MASSACHUSETTS DEVELOPMENT FINANCE AGENCY
Other - Org Name:DEVENS FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEBLANC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-772-4600
Mailing Address - Street 1:9 MAIN ST
Mailing Address - Street 2:SUITE 2K
Mailing Address - City:SUTTON
Mailing Address - State:MA
Mailing Address - Zip Code:01590-1660
Mailing Address - Country:US
Mailing Address - Phone:866-268-5200
Mailing Address - Fax:508-476-9748
Practice Address - Street 1:182 JACKSON RD
Practice Address - Street 2:
Practice Address - City:DEVENS
Practice Address - State:MA
Practice Address - Zip Code:01434-5062
Practice Address - Country:US
Practice Address - Phone:800-488-4351
Practice Address - Fax:978-772-8819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-18
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3050341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
0026169OtherNEIGHBORHOOD HEALTH
MA110031397AMedicaid
MA101759OtherBLUE CROSS BLUE SHEILD
806729OtherTUFTS HEALTH PLAN
354669100OtherUS DEPARTMENT OF LABOR
0026169OtherNEIGHBORHOOD HEALTH
0026169OtherNEIGHBORHOOD HEALTH
MAAM0137Medicare PIN