Provider Demographics
NPI:1275513095
Name:TOWN OF SEEKONK
Entity Type:Organization
Organization Name:TOWN OF SEEKONK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DALESSIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-336-8510
Mailing Address - Street 1:500 TAUNTON AVE
Mailing Address - Street 2:
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-3112
Mailing Address - Country:US
Mailing Address - Phone:508-336-8510
Mailing Address - Fax:978-356-2721
Practice Address - Street 1:170 COUNTY ST
Practice Address - Street 2:
Practice Address - City:SEEKONK
Practice Address - State:MA
Practice Address - Zip Code:02771-5605
Practice Address - Country:US
Practice Address - Phone:508-336-8510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3146341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA035759OtherBLUE CROSS BLUE SHIELD
000000027995OtherBMC HEALTHNET PLAN
0023778OtherNEIGHBORHOOD HEALTH
803289OtherTUFTS HEALTH PLAN
RI0000022497OtherBLUE CROSS BLUE SHIELD
590009743OtherRR MEDICARE
MA1715976Medicaid
700285OtherHARVARD PILGRIM
249566900OtherDEPARTMENT OF LABOR
RI0035759Medicaid
BQ409614OtherBLUE CHIP