Provider Demographics
NPI:1770542763
Name:TOWN OF WESTBOROUGH
Entity type:Organization
Organization Name:TOWN OF WESTBOROUGH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEPUTY CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOUCET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-389-2312
Mailing Address - Street 1:42 MILK ST
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-1208
Mailing Address - Country:US
Mailing Address - Phone:508-389-2300
Mailing Address - Fax:
Practice Address - Street 1:42 MILK ST
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1208
Practice Address - Country:US
Practice Address - Phone:508-389-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-20
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3660341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA010759OtherBLUE CROSS BLUE SHIELD
MA1701371Medicaid
700315OtherHARVARD PILGRIM
7340OtherFALLON HEALTH
800419OtherTUFTS HEALTH PLAN
103504200OtherDEPARTMENT OF LABOR
590000512OtherRR MEDICARE
0008795OtherNEIGHBORHOOD HEALTH
000000023048OtherBMC HEALTHNET PLAN