Provider Demographics
NPI:1790722650
Name:TOWN OF HARWICH
Entity Type:Organization
Organization Name:TOWN OF HARWICH
Other - Org Name:HARWICH FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LEBLANC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-430-7546
Mailing Address - Street 1:175 SISSON RD
Mailing Address - Street 2:
Mailing Address - City:HARWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02645-2616
Mailing Address - Country:US
Mailing Address - Phone:508-430-7546
Mailing Address - Fax:508-432-5685
Practice Address - Street 1:175 SISSON RD
Practice Address - Street 2:
Practice Address - City:HARWICH
Practice Address - State:MA
Practice Address - Zip Code:02645-2616
Practice Address - Country:US
Practice Address - Phone:508-430-7546
Practice Address - Fax:508-432-5685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA100059OtherBCBS PROVIDER NUMBER
MA110031328AMedicaid
MAAM0004Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER