Provider Demographics
NPI:1306839410
Name:TOWN OF BECKET
Entity Type:Organization
Organization Name:TOWN OF BECKET
Other - Org Name:BECKET AMBULANCE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-623-5027
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 1:629 JACOBS LADDER RD
Practice Address - Street 2:
Practice Address - City:BECKET
Practice Address - State:MA
Practice Address - Zip Code:01223-3470
Practice Address - Country:US
Practice Address - Phone:413-623-5027
Practice Address - Fax:603-623-6036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-24
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X
MA39783416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA590013755OtherRR MEDICARE
MA098459OtherBLUE CROSS MASS
MA803578OtherSECURE HORIZONS
MA803578OtherTUFTS HEALTH PLAN
MA000000022605OtherBMC HEALTHNET PLAN
MA590013755OtherRR MEDICARE
MA0026512OtherNEIGHBORHOOD HEALTH
MA363429OtherMVP HEALTH CARE
MA1715437Medicaid
MA803578OtherSECURE HORIZONS