Provider Demographics
NPI:1881697746
Name:TOWN OF OXFORD
Entity type:Organization
Organization Name:TOWN OF OXFORD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:LAURENT
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-987-6012
Mailing Address - Street 1:19 NORFOLK AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02375-1911
Mailing Address - Country:US
Mailing Address - Phone:508-297-2068
Mailing Address - Fax:508-297-2699
Practice Address - Street 1:181 MAIN ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MA
Practice Address - Zip Code:01540-2352
Practice Address - Country:US
Practice Address - Phone:508-987-6009
Practice Address - Fax:508-987-6013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA33003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1701231Medicaid
MA0462340OtherAETNA INSURANCE
MA701137OtherHARVARD PILGRIM INS.
MA7280OtherFALLON VENDOR NUMBER
MA7185210OtherCIGNA
MA801648OtherTUFTS HEALTH PLAN
MA987450OtherNETWORK HEALTH
MA987450OtherNETWORK HEALTH
MA1701231Medicaid
MA987450OtherNETWORK HEALTH