Provider Demographics
NPI:1902851819
Name:TOWN OF NORFOLK TREASURERS OFFICER
Entity Type:Organization
Organization Name:TOWN OF NORFOLK TREASURERS OFFICER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ERRON
Authorized Official - Middle Name:QUINCY
Authorized Official - Last Name:KINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-528-3207
Mailing Address - Street 1:PO BOX 4110, DEPT 6940
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01888
Mailing Address - Country:US
Mailing Address - Phone:508-528-3207
Mailing Address - Fax:
Practice Address - Street 1:117 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:MA
Practice Address - Zip Code:02056-1416
Practice Address - Country:US
Practice Address - Phone:508-528-3207
Practice Address - Fax:508-541-3303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3026341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110031335AMedicaid
MA018659Medicare PIN