Provider Demographics
NPI:1538129887
Name:TOWN OF WESTFORD
Entity Type:Organization
Organization Name:TOWN OF WESTFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ROCHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-692-5542
Mailing Address - Street 1:9 MAIN ST
Mailing Address - Street 2:SUITE 2K
Mailing Address - City:SUTTON
Mailing Address - State:MA
Mailing Address - Zip Code:01590-1660
Mailing Address - Country:US
Mailing Address - Phone:508-476-9740
Mailing Address - Fax:
Practice Address - Street 1:55 MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-2551
Practice Address - Country:US
Practice Address - Phone:978-692-5542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3063341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
59453OtherFALLON
P00017688OtherRR MEDICARE
706085OtherHARVARD PILGRIM
805941OtherTUFTS HEALTH PLAN
MA1721119Medicaid
MA102759OtherBLUE CROSS BLUE SHIELD
MA1721119Medicaid