Provider Demographics
NPI:1649250127
Name:TOWN OF SHARON
Entity type:Organization
Organization Name:TOWN OF SHARON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-784-1522
Mailing Address - Street 1:31 SMITH PL
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-1007
Mailing Address - Country:US
Mailing Address - Phone:617-682-1839
Mailing Address - Fax:617-492-0344
Practice Address - Street 1:211 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-2528
Practice Address - Country:US
Practice Address - Phone:781-784-1522
Practice Address - Fax:781-784-1521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-19
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3034341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000025386OtherBMC HEALTHNET PLAN
MA1701339Medicaid
0008641OtherNEIGHBORHOOD HEALTH
MA093259OtherBLUE CROSS BLUE SHIELD
441590376OtherRR MEDICARE
700060OtherHARVARD PILGRIM
800929OtherTUFTS HEALH PLAN
800929OtherTUFTS HEALH PLAN