Provider Demographics
NPI:1346857109
Name:TOWN OF HAMPDEN- FIRE DEPARTMENT
Entity Type:Organization
Organization Name:TOWN OF HAMPDEN- FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF DEPARTMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:POULIN
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:413-455-4555
Mailing Address - Street 1:19 NORTH RD
Mailing Address - Street 2:
Mailing Address - City:HAMPDEN
Mailing Address - State:MA
Mailing Address - Zip Code:01036-9662
Mailing Address - Country:US
Mailing Address - Phone:413-566-3314
Mailing Address - Fax:
Practice Address - Street 1:19 NORTH RD
Practice Address - Street 2:
Practice Address - City:HAMPDEN
Practice Address - State:MA
Practice Address - Zip Code:01036-9662
Practice Address - Country:US
Practice Address - Phone:413-566-3314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport