Provider Demographics
NPI:1689650186
Name:TOWN OF NORTH ATTLEBOROUGH
Entity Type:Organization
Organization Name:TOWN OF NORTH ATTLEBOROUGH
Other - Org Name:NORTH ATTLEBOROUGH FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BROUSSEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-699-4423
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 1:50 ELM ST
Practice Address - Street 2:
Practice Address - City:NORTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02760-2318
Practice Address - Country:US
Practice Address - Phone:508-699-4423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-16
Last Update Date:2013-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3123341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI0000023852OtherBLUE CROSS BLUE SHIELD
0013562OtherNEIGHBORHOOD HEALTH
441590518OtherRR MEDICARE
MA011959OtherBLUE CROSS BLUE SHIELD
MA1701169Medicaid
BQ409435OtherBLUE CHIP
RI0011959Medicaid
000000024357OtherBMC HEALTHNET
700079OtherHARVARD PILGRIM,
734712OtherTUFTS
RI0011959Medicaid