MEDICARE: TOWN OF ORLEANS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	3129	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124012257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF ORLEANS

Provider Business Mailing Address
First Line	:	58 ELDRIDGE PARK WAY
Second Line	:
City	:	ORLEANS
State	:	MA
Zip	:	02653-3326
Country	:	US
Telephone Number	:	150-825-5005
Fax Number	:	150-824-0085

Provider Business Practice Location Address
First Line	:	9 MAIN ST STE 2K
Second Line	:
City	:	SUTTON
State	:	MA
Zip	:	01590-1660
Country	:	US
Telephone Number	:	508-476-9740
Fax Number	:	508-476-9748

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	WILLIAM P. QUINN JR.
Credential	:
Telephone Number	:	150-825-5005

Provider Enumeration Date	:	09/03/2005
Last Update Date	:	04/08/2011

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Directions to “TOWN OF ORLEANS ” Practice Location

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