Provider Demographics
NPI:1548215445
Name:TOWN OF HALIFAX
Entity Type:Organization
Organization Name:TOWN OF HALIFAX
Other - Org Name:TOWN OF HALIFAX AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FORSSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-293-1751
Mailing Address - Street 1:499 PLYMOUTH ST
Mailing Address - Street 2:COLLECTOR'S OFFICE
Mailing Address - City:HALIFAX
Mailing Address - State:MA
Mailing Address - Zip Code:02338-1338
Mailing Address - Country:US
Mailing Address - Phone:781-293-1751
Mailing Address - Fax:781-293-6635
Practice Address - Street 1:499 PLYMOUTH ST
Practice Address - Street 2:HALIFAX FIRE DEPARTMENT
Practice Address - City:HALIFAX
Practice Address - State:MA
Practice Address - Zip Code:02338-1338
Practice Address - Country:US
Practice Address - Phone:781-293-1751
Practice Address - Fax:781-293-6635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA36593416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport