Healthcare Provider Details

I. General information

NPI: 1174524276
Provider Name (Legal Business Name): CITY OF AMESBURY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 01/25/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 SCHOOL ST
AMESBURY MA
01913-2812
US

IV. Provider business mailing address

PO BOX 986500, DEPT 2050
BOSTON MA
02298-6500
US

V. Phone/Fax

Practice location:
  • Phone: 978-388-8185
  • Fax:
Mailing address:
  • Phone: 617-492-8484
  • Fax: 617-492-0806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3052
License Number StateMA

VIII. Authorized Official

Name: MR. KENNETH E BERKENBUSH
Title or Position: FIRE CHIEF
Credential:
Phone: 978-388-8185