MEDICARE: TOWN OF CLINTON

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	341600000X	Ambulance	3668	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	041459	OTHER	MA	BLUE CROSS BLUE SHEILD
2	801548	OTHER		TUFTS HEALTH PLAN
3	701596	OTHER		HAVARD PILGRIM HEALTHCARE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	7065	OTHER		FALLON HEALTH PLAN

General Provider Information

NPI Number	:	1124015359
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF CLINTON

Provider Business Mailing Address
First Line	:	8 TURCOTTE MEMORIAL DR
Second Line	:
City	:	ROWLEY
State	:	MA
Zip	:	01969-1706
Country	:	US
Telephone Number	:	800-488-4351
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 MAIN ST
Second Line	:
City	:	CLINTON
State	:	MA
Zip	:	01510-2413
Country	:	US
Telephone Number	:	978-365-4165
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	RICHARD HART
Credential	:
Telephone Number	:	978-365-4165

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	08/22/2020

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Directions to “TOWN OF CLINTON ” Practice Location

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