Provider Demographics
NPI:1750379319
Name:CENTERVILLE-OSTERVILLE-MARSTONS-MILLS FIRE DISTRICT
Entity type:Organization
Organization Name:CENTERVILLE-OSTERVILLE-MARSTONS-MILLS FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-790-2375
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 1:1875 FALMOUTH RD
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02632-3117
Practice Address - Country:US
Practice Address - Phone:508-790-2375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-07
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3170341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
805081OtherTUFTS HEALTH PLAN
NY9721126OtherG.H.I INSURANCE
MAAM0046OtherBLUE CROSS BLUE SHEILD
590013057OtherRR MEDICARE
0020619OtherNEIGHBORHOOD HEALTH
MG6228OtherHARVARD PILGRIM
000000024015OtherBMC HEALTHNET PLAN
MA1716042Medicaid
MA1716042Medicaid