Provider Demographics
NPI:1386845683
Name:TOWN OF NORTHFIELD
Entity Type:Organization
Organization Name:TOWN OF NORTHFIELD
Other - Org Name:NORTHFIELD EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:D
Authorized Official - Last Name:FORTIER
Authorized Official - Suffix:
Authorized Official - Credentials:EMT - B
Authorized Official - Phone:413-498-2901
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 1:93 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:MA
Practice Address - Zip Code:01360-1015
Practice Address - Country:US
Practice Address - Phone:413-498-5100
Practice Address - Fax:413-498-5103
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF NORTHFIELD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-31
Last Update Date:2013-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3951341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance