Provider Demographics
NPI:1922549609
Name:TOWN OF WENHAM
Entity Type:Organization
Organization Name:TOWN OF WENHAM
Other - Org Name:WENHAM FIRE DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAXTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-468-5508
Mailing Address - Street 1:140 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WENHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01984-1520
Mailing Address - Country:US
Mailing Address - Phone:978-468-5508
Mailing Address - Fax:978-468-5509
Practice Address - Street 1:140 MAIN ST
Practice Address - Street 2:
Practice Address - City:WENHAM
Practice Address - State:MA
Practice Address - Zip Code:01984-1520
Practice Address - Country:US
Practice Address - Phone:978-468-5508
Practice Address - Fax:978-468-5509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3991341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance