MEDICARE: TOWN OF CANTON

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

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	032559	OTHER	MA	BCBS PROVIDER NUMBER

General Provider Information

NPI Number	:	1942236385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF CANTON

Provider Business Mailing Address
First Line	:	9 MAIN ST
Second Line	:	SUITE 2K
City	:	SUTTON
State	:	MA
Zip	:	01590-1660
Country	:	US
Telephone Number	:	508-476-9740
Fax Number	:	508-476-9748

Provider Business Practice Location Address
First Line	:	99 REVERE ST
Second Line	:
City	:	CANTON
State	:	MA
Zip	:	02021-2918
Country	:	US
Telephone Number	:	781-821-5095
Fax Number	:	781-821-0956

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	CHARLES E DOODY
Credential	:
Telephone Number	:	781-821-5095

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	04/03/2012

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1457379927 — WAL-MART STORES EAST LP
Practice Location Address:

1550 RIVERSTONE PKWY
CANTON, GA
30114-2918

Practice Phone: 770-479-9003
Practice Fax:

1811273899 — DR. DIANA GAIL FORD O.D.
Practice Location Address:

1550 RIVERSTONE PKWY
CANTON, GA
30114-2918

Practice Phone: 770-720-1023
Practice Fax:

1275870172 — PROF. JENNIFER MICHELLE FOSTER MA, CD, IBCLC, RLC
Practice Location Address:

213 RUSSELL CT
CANTON, GA
30115-2918

Practice Phone: 470-533-9119
Practice Fax:

1750981114 — DR. KEVIN LADD HATCHER PHARMD
Practice Location Address:

1550 RIVERSTONE PKWY
CANTON, GA
30114-2918

Practice Phone: 770-479-9003
Practice Fax:

1679174148 — MINDFUL LACTATION EDUCATION, LLC
Practice Location Address:

213 RUSSELL CT
CANTON, GA
30115-2918

Practice Phone: 470-533-9119
Practice Fax:

Directions to “TOWN OF CANTON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.