Provider Demographics
NPI:1417105370
Name:TOWN OF HARVARD
Entity Type:Organization
Organization Name:TOWN OF HARVARD
Other - Org Name:HARVARD AMBULANCE SERVICE
Other - Org Type:Other Name
Authorized Official - Title/Position:TOWN ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:P
Authorized Official - Last Name:BRAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-456-4100
Mailing Address - Street 1:13 AYER RD
Mailing Address - Street 2:
Mailing Address - City:HARVARD
Mailing Address - State:MA
Mailing Address - Zip Code:01451-1461
Mailing Address - Country:US
Mailing Address - Phone:978-456-4100
Mailing Address - Fax:978-456-4107
Practice Address - Street 1:13 AYER RD
Practice Address - Street 2:
Practice Address - City:HARVARD
Practice Address - State:MA
Practice Address - Zip Code:01451-1461
Practice Address - Country:US
Practice Address - Phone:978-456-4100
Practice Address - Fax:978-456-4107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAM52095341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance