Provider Demographics
NPI:1528043387
Name:TOWN OF NEW MARLBOROUGH
Entity Type:Organization
Organization Name:TOWN OF NEW MARLBOROUGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-229-8100
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 1:207 NORFOLK ROAD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MA
Practice Address - Zip Code:01259
Practice Address - Country:US
Practice Address - Phone:413-229-8100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-14
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3027341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
590014136OtherRR MEDICARE
MAAM0093OtherBLUE CROSS BLUE SHIELD
MA1720023Medicaid
820506OtherTUFTS HEALTH
704581OtherHARVARD PILGRIM
MAAM0093OtherBLUE CROSS BLUE SHIELD