Provider Demographics
NPI:1831177054
Name:TOWN OF ROCHESTER
Entity type:Organization
Organization Name:TOWN OF ROCHESTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:E
Authorized Official - Last Name:WEIGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-789-2670
Mailing Address - Street 1:1 CONSTITUTION WAY
Mailing Address - Street 2:TREASURER
Mailing Address - City:ROCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02770
Mailing Address - Country:US
Mailing Address - Phone:508-763-3871
Mailing Address - Fax:508-763-3188
Practice Address - Street 1:59 HARTLEY RD
Practice Address - Street 2:ROCHESTER FIRE DEPT.
Practice Address - City:ROCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02770
Practice Address - Country:US
Practice Address - Phone:508-763-1709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-06
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3138341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
700313OtherHARVARD PILGRIM
668593OtherTUFTS HEALTH PLAN
590013105OtherRR MEDICARE
000000027606OtherBMC HEALTHCARE
MA083559OtherBLUE CROSS BLUE SHIELD
MA1713884Medicaid
0024610OtherNEIGHBORHOOD HEALTH