Provider Demographics
NPI:1659364065
Name:TOWN OF BREWSTER
Entity Type:Organization
Organization Name:TOWN OF BREWSTER
Other - Org Name:BREWSTER AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MORAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-896-7018
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:978-356-2721
Practice Address - Street 1:1657 MAIN ST
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:MA
Practice Address - Zip Code:02631-1715
Practice Address - Country:US
Practice Address - Phone:508-896-7018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-31
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA30773416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA362681300OtherDEPARTMENT OF LABOR
MA0024028OtherNEIGHBORHOOD HEALTH
MA000000027030OtherBMC HEALTHNET
MA590010208OtherRR MEDICARE
MA700483OtherHARVARD PILGRIM
MA099359OtherBC/BS OF MASS
MA1712926Medicaid
MA802189OtherTUFTS HEALTH PLAN
MA362681300OtherDEPARTMENT OF LABOR