Provider Demographics
NPI:1649250754
Name:TOWN OF SALEM
Entity type:Organization
Organization Name:TOWN OF SALEM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:OLDEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-890-2200
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:978-356-2721
Practice Address - Street 1:152 MAIN ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-3134
Practice Address - Country:US
Practice Address - Phone:603-890-2200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-17
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0100341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000025500OtherBMC HEALTHNET PLAN
590003114OtherRR MEDICARE
0008044OtherNEIGHBORHOOD HEALTH
801017OtherTUFTS HEALTH PLAN
MA074259OtherBLUE CROSS BLUE SHIELD
700254OtherHARVARD PILGRIM
NH90596271Medicaid
7106271Y0NH01OtherANTHEM BLUE CROSS
MA7700458Medicaid