Provider Demographics
NPI:1790720589
Name:TOWN OF ABINGTON
Entity Type:Organization
Organization Name:TOWN OF ABINGTON
Other - Org Name:TOWN OF ABINGTON AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TOWN MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:D'AGOSTINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-982-2100
Mailing Address - Street 1:PO BOX 4110
Mailing Address - Street 2:DEPT 1560
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01888-4110
Mailing Address - Country:US
Mailing Address - Phone:781-982-2114
Mailing Address - Fax:
Practice Address - Street 1:1040 BEDFORD ST
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:MA
Practice Address - Zip Code:02351-1260
Practice Address - Country:US
Practice Address - Phone:781-982-2114
Practice Address - Fax:781-982-2104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA30673416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA036859OtherBLUE CROSS & BLUE SHIELD
MA1708333Medicaid
MA802100OtherTUFTS HEALTH PLANS
MA700055OtherHARVARD PILGRIM HEALTH
MA700055OtherHARVARD PILGRIM HEALTH