Provider Demographics
NPI:1306835889
Name:TOWN OF FREETOWN
Entity Type:Organization
Organization Name:TOWN OF FREETOWN
Other - Org Name:FREETOWN FIRE DEPT/FREETOWN FIRE & RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HASKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-763-4828
Mailing Address - Street 1:25 BULLOCK RD
Mailing Address - Street 2:
Mailing Address - City:EAST FREETOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02717-1018
Mailing Address - Country:US
Mailing Address - Phone:508-763-4828
Mailing Address - Fax:508-763-4837
Practice Address - Street 1:25 BULLOCK RD
Practice Address - Street 2:
Practice Address - City:EAST FREETOWN
Practice Address - State:MA
Practice Address - Zip Code:02717-1018
Practice Address - Country:US
Practice Address - Phone:508-763-4828
Practice Address - Fax:508-763-4837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-18
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3104341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1714538Medicaid
MA1714538Medicaid