Healthcare Provider Details

I. General information

NPI: 1023062049
Provider Name (Legal Business Name): TOWN OF ATHOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 MAIN ST
ATHOL MA
01331-3526
US

IV. Provider business mailing address

2251 MAIN ST
ATHOL MA
01331-3526
US

V. Phone/Fax

Practice location:
  • Phone: 978-249-8275
  • Fax: 978-575-0138
Mailing address:
  • Phone: 978-249-8275
  • Fax: 978-249-4200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY PARKER
Title or Position: FIRE CHIEF
Credential:
Phone: 978-249-8275