MEDICARE: TOWN OF HANOVER

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	3559	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	590005290	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	037059	OTHER	MA	BC/BS
2	0017329	OTHER		NEIGHBORHOOD HEALTH
3	800619	OTHER		TUFTS HEALTH PLAN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	000000021942	OTHER		BMC HEALTHNET
7	700064	OTHER		HARVARD PILGRIM

General Provider Information

NPI Number	:	1326039991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF HANOVER

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	:	978-356-2721

Provider Business Practice Location Address
First Line	:	32 CENTER ST
Second Line	:
City	:	HANOVER
State	:	MA
Zip	:	02339-2610
Country	:	US
Telephone Number	:	781-826-3151
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	JEFFREY BLANCHARD
Credential	:
Telephone Number	:	781-826-3151

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	10/04/2013

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Directions to “TOWN OF HANOVER ” Practice Location

Language	Start Address	Practice Location

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