Provider Demographics
NPI:1669473021
Name:TOWN OF ACTON
Entity Type:Organization
Organization Name:TOWN OF ACTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:R
Authorized Official - Last Name:ARNUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-929-7722
Mailing Address - Street 1:472 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-3952
Mailing Address - Country:US
Mailing Address - Phone:978-929-7722
Mailing Address - Fax:
Practice Address - Street 1:472 MAIN ST
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-3952
Practice Address - Country:US
Practice Address - Phone:978-264-9645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF ACTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-08-09
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA32153416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1706853Medicaid
MA032059OtherBCBS
MA590001184OtherRR MEDICARE
MA032059Medicare ID - Type Unspecified