MEDICARE: TOWN OF ACTON

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	3215	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	590001184	OTHER	MA	RR MEDICARE

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
2	032059	OTHER	MA	BCBS

General Provider Information

NPI Number	:	1669473021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF ACTON

Provider Business Mailing Address
First Line	:	472 MAIN ST
Second Line	:
City	:	ACTON
State	:	MA
Zip	:	01720-3952
Country	:	US
Telephone Number	:	978-929-7722
Fax Number	:

Provider Business Practice Location Address
First Line	:	472 MAIN ST
Second Line	:
City	:	ACTON
State	:	MA
Zip	:	01720-3952
Country	:	US
Telephone Number	:	978-264-9645
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	ANITA R ARNUM
Credential	:
Telephone Number	:	978-929-7722

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	01/25/2024

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Directions to “TOWN OF ACTON ” Practice Location

Language	Start Address	Practice Location

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