Provider Demographics
NPI:1518969534
Name:TOWN OF ARLINGTON
Entity Type:Organization
Organization Name:TOWN OF ARLINGTON
Other - Org Name:ARLINGTON FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:JEFFERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-316-3000
Mailing Address - Street 1:87 MYSTIC ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-1129
Mailing Address - Country:US
Mailing Address - Phone:781-859-1330
Mailing Address - Fax:781-643-0409
Practice Address - Street 1:112 MYSTIC ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-1152
Practice Address - Country:US
Practice Address - Phone:781-316-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-10
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA32113416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA444590809OtherRR MEDICARE
MA701528OtherHARVARD PILGRIM
MA035959OtherMASS MEDEX
MA103474800OtherDEPARTMENT OF LABOR
MA1708058Medicaid
MA035959OtherBC/BS
MA801807OtherTUFTS
MA0008587OtherNEIGHBORHOOD HEALTH
MA110027969BMedicaid
MA1708058Medicaid