Provider Demographics
NPI:1700815941
Name:TOWN OF STERLING
Entity Type:Organization
Organization Name:TOWN OF STERLING
Other - Org Name:STERLING AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:HURLBUT
Authorized Official - Suffix:
Authorized Official - Credentials:FC
Authorized Official - Phone:978-422-3040
Mailing Address - Street 1:9 MAIN ST
Mailing Address - Street 2:SUITE 2K
Mailing Address - City:SUTTON
Mailing Address - State:MA
Mailing Address - Zip Code:01590-1660
Mailing Address - Country:US
Mailing Address - Phone:508-476-9740
Mailing Address - Fax:508-476-9748
Practice Address - Street 1:5 MAIN STREET
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:MA
Practice Address - Zip Code:01564-1441
Practice Address - Country:US
Practice Address - Phone:978-422-3040
Practice Address - Fax:978-422-7832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA33103416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA102659OtherBLUE CROSS & BLUE SHIELD
MA1721151Medicaid
MA0033027OtherNEIGHBORHOOD HEALTH PLAN
MA820906OtherTUFTS HEALTH PLAN
MA820906OtherTUFTS HEALTH PLAN
MA1721151Medicaid