Provider Demographics
NPI:1346203577
Name:TOWN OF FALMOUTH
Entity Type:Organization
Organization Name:TOWN OF FALMOUTH
Other - Org Name:TOWN OF FALMOUTH FIRE RESCUE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEHNICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-495-2551
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:800-488-1351
Mailing Address - Fax:978-356-2721
Practice Address - Street 1:399 MAIN ST
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-3158
Practice Address - Country:US
Practice Address - Phone:508-495-2500
Practice Address - Fax:508-495-2540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-10
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3102341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA010159OtherBC/BS OF MASS
MA1701029Medicaid
MA1701029Medicaid