Provider Demographics
NPI:1588829618
Name:TOWN OF MARION
Entity type:Organization
Organization Name:TOWN OF MARION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS COODINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:HABICHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-748-3599
Mailing Address - Street 1:9 MAIN ST STE 2K
Mailing Address - Street 2:
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 1:50 SPRING ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:MA
Practice Address - Zip Code:02738-1519
Practice Address - Country:US
Practice Address - Phone:508-748-3599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport