Provider Demographics
NPI:1326021908
Name:TOWN OF LENOX
Entity Type:Organization
Organization Name:TOWN OF LENOX
Other - Org Name:TOWN OF LENOX AMBULANCE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-637-5544
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 1:6 WALKER ST
Practice Address - Street 2:
Practice Address - City:LENOX
Practice Address - State:MA
Practice Address - Zip Code:01240-2741
Practice Address - Country:US
Practice Address - Phone:413-637-5544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-28
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3348341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1715623Medicaid
0021572OtherNEIGHBORHOOD HEALTH
000000024907OtherBMC HEALTHNET
NY156454XXOtherPREFERRED CARE
590008195OtherRR MEDICARE
800758OtherTUFTS HEALTH PLAN
701496OtherHARVARD PILGRIM
000000024907OtherBMC HEALTHNET
590008195OtherRR MEDICARE