Provider Demographics
NPI:1932189834
Name:TOWN OF SANDISFIELD
Entity Type:Organization
Organization Name:TOWN OF SANDISFIELD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-258-4827
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:
Mailing Address - Fax:
Practice Address - Street 1:7 TOLLAND RD
Practice Address - Street 2:
Practice Address - City:SANDISFIELD
Practice Address - State:MA
Practice Address - Zip Code:01255-9779
Practice Address - Country:US
Practice Address - Phone:413-258-4827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3364341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPS0167OtherBLUE CROSS BLUE SHIELD
704991OtherHARVARD PILGRIM
000000026987OtherBMC HEALTHNET PLAN
801616OtherTUFTS HEALTH PLAN
MA1715658Medicaid
P00080710OtherRR MEDICARE
MA1715658Medicaid