MEDICARE: TOWN OF LAKEVILLE

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	3946	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	59014723	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	101459	OTHER	MA	BCBS
2	704824	OTHER		HARVARD PILGRIM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	807259	OTHER		TUFTS HEALTH PLAN
6	000000028197	OTHER		BMC HEALTHNET PLAN
7	0025281	OTHER		NEIGHBORHOOD HEALTH

General Provider Information

NPI Number	:	1376526210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF LAKEVILLE

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	:	346 BEDFORD ST
Second Line	:
City	:	LAKEVILLE
State	:	MA
Zip	:	02347-2150
Country	:	US
Telephone Number	:	508-947-4121
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	DANIEL HOPKINS
Credential	:
Telephone Number	:	508-947-4121

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	10/04/2013

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Directions to “TOWN OF LAKEVILLE ” Practice Location

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