Provider Demographics
NPI:1942364021
Name:TOWN OF HOLBROOK
Entity Type:Organization
Organization Name:TOWN OF HOLBROOK
Other - Org Name:HOLBROOK FIRE DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-767-6402
Mailing Address - Street 1:19 NORFOLK AVE STE B
Mailing Address - Street 2:
Mailing Address - City:SOUTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02375-1911
Mailing Address - Country:US
Mailing Address - Phone:888-771-6115
Mailing Address - Fax:
Practice Address - Street 1:300 SOUTH FRANKLIN STREET
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:MA
Practice Address - Zip Code:02343
Practice Address - Country:US
Practice Address - Phone:781-767-2234
Practice Address - Fax:781-767-1738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA700145OtherHARVARD PILGRIM
MA80117OtherTUFTS
MA036259OtherBLUE CROSS
MA1708236Medicaid
MA590006196OtherRAILROAD MEDICARE
MA590006196OtherRAILROAD MEDICARE
MA700145OtherHARVARD PILGRIM