Provider Demographics
NPI:1578519666
Name:TOWN OF WELLFLEET OFFICE OF THE TREASURER
Entity Type:Organization
Organization Name:TOWN OF WELLFLEET OFFICE OF THE TREASURER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:PAULEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:508-349-3754
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:508-476-9748
Practice Address - Street 1:35 LAWRENCE RD
Practice Address - Street 2:
Practice Address - City:WELLFLEET
Practice Address - State:MA
Practice Address - Zip Code:02667-7703
Practice Address - Country:US
Practice Address - Phone:508-349-3754
Practice Address - Fax:508-349-0318
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF WELLFLEET
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-26
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1709585Medicaid
MA040559OtherBCBS PROVIDER NUMBER
MA040559OtherBCBS PROVIDER NUMBER