Provider Demographics
NPI:1568439149
Name:TOWN OF WEST BOYLSTON
Entity Type:Organization
Organization Name:TOWN OF WEST BOYLSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:WELSH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:508-835-3233
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:
Practice Address - Street 1:39 WORCESTER ST
Practice Address - Street 2:
Practice Address - City:WEST BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01583-1412
Practice Address - Country:US
Practice Address - Phone:508-835-3233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-02
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3318341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1714651Medicaid
701640OtherHARVARD PILGRIM
0008270OtherNEIGHBORHOOD HEALTH
MA095159OtherBLUE CROSS BLUE SHIELD
7385OtherFALLON
802111OtherTUFTS HEALTH PLAN
590008799OtherRR MEDICARE
MA095159OtherBLUE CROSS BLUE SHIELD