Provider Demographics
NPI:1982687497
Name:CITY OF LYNN MASSACHUSETTS
Entity Type:Organization
Organization Name:CITY OF LYNN MASSACHUSETTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUKAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-593-7528
Mailing Address - Street 1:8 TURCOTTE MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1706
Mailing Address - Country:US
Mailing Address - Phone:800-488-4351
Mailing Address - Fax:
Practice Address - Street 1:73 HOLLINGSWORTH ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01902
Practice Address - Country:US
Practice Address - Phone:781-593-1234
Practice Address - Fax:781-596-1480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-29
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3033341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY155967XXOtherPREFERRED CARE
MA1720040Medicaid
704323OtherHARVARD PILGRIM
103514000OtherUS DEPARTMENT OF LABOR
0020271OtherNEIGHBORHOOD HEALTH
806813OtherTUFTS HEALTH PLAN
000000021757OtherBMC HEALTHNET
MAAM0087OtherBLUE CROSS BLUE SHIELD