Provider Demographics
NPI:1457135931
Name:TOWN OF PROVINCETOWN
Entity Type:Organization
Organization Name:TOWN OF PROVINCETOWN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:OTHAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-487-7023
Mailing Address - Street 1:25 SHANK PAINTER RD
Mailing Address - Street 2:
Mailing Address - City:PROVINCETOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02657-1346
Mailing Address - Country:US
Mailing Address - Phone:508-487-7023
Mailing Address - Fax:508-487-7007
Practice Address - Street 1:25 SHANK PAINTER RD
Practice Address - Street 2:
Practice Address - City:PROVINCETOWN
Practice Address - State:MA
Practice Address - Zip Code:02657-1346
Practice Address - Country:US
Practice Address - Phone:508-487-7023
Practice Address - Fax:508-487-7007
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF PROVINCETOWN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No333300000XSuppliersEmergency Response System Companies