Provider Demographics
NPI:1326039991
Name:TOWN OF HANOVER
Entity Type:Organization
Organization Name:TOWN OF HANOVER
Other - Org Name:HANOVER FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-826-3151
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 1:32 CENTER ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-2610
Practice Address - Country:US
Practice Address - Phone:781-826-3151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-02
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3559341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA037059OtherBC/BS
0017329OtherNEIGHBORHOOD HEALTH
800619OtherTUFTS HEALTH PLAN
MA1708325Medicaid
590005290OtherRR MEDICARE
000000021942OtherBMC HEALTHNET
700064OtherHARVARD PILGRIM
800619OtherTUFTS HEALTH PLAN
0017329OtherNEIGHBORHOOD HEALTH