MEDICARE: TOWN OF NORTH ATTLEBOROUGH

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	3123	MA
2	3416L0300X	Land Ambulance	3123	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	441590518	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000023852	OTHER	RI	BLUE CROSS BLUE SHIELD
2	0013562	OTHER		NEIGHBORHOOD HEALTH
4	011959	OTHER	MA	BLUE CROSS BLUE SHIELD
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	BQ409435	OTHER		BLUE CHIP
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	000000024357	OTHER		BMC HEALTHNET
9	700079	OTHER		HARVARD PILGRIM,
10	734712	OTHER		TUFTS

General Provider Information

NPI Number	:	1689650186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF NORTH ATTLEBOROUGH

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	:	50 ELM ST
Second Line	:
City	:	NORTH ATTLEBORO
State	:	MA
Zip	:	02760-2318
Country	:	US
Telephone Number	:	508-699-4423
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	MICHAEL BROUSSEAU
Credential	:
Telephone Number	:	508-699-4423

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	10/20/2013

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Directions to “TOWN OF NORTH ATTLEBOROUGH ” Practice Location

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