MEDICARE: TOWN OF CHARLTON

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	3272	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	590088111	OTHER		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	006659	OTHER	MA	BLUE CROSS BLUE SHEILD
3	7040	OTHER	MA	FALLON COMMUNITY
4	0019165	OTHER	MA	NEIGHBORHOOD HEALTH
5	006659	OTHER	MA	MASS MEDEX
6	803954	OTHER		TUFTS HEALTH PLAN
7	606530500	OTHER		DEPARTMENT OF LABOR
9	700339	OTHER		HARVARD PILGRIM

General Provider Information

NPI Number	:	1851388136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF CHARLTON

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	:	10 POWER STATION RD
Second Line	:
City	:	CHARLTON
State	:	MA
Zip	:	01507-1920
Country	:	US
Telephone Number	:	508-248-2276
Fax Number	:

Authorized Official
Title or Position	:	EMS COORDINATOR
Name	:	TERRI GOUGH
Credential	:
Telephone Number	:	508-248-2276

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	10/04/2013

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Directions to “TOWN OF CHARLTON ” Practice Location

Language	Start Address	Practice Location

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