Healthcare Provider Details
I. General information
NPI: 1841247947
Provider Name (Legal Business Name): TOWN OF CARLISLE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2006
Last Update Date: 01/26/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
80 WESTFORD ST
CARLISLE MA
01741-1506
US
IV. Provider business mailing address
PO BOX 4110 DEPT 1040
WOBURN MA
01888-4110
US
V. Phone/Fax
- Phone: 978-369-2888
- Fax: 978-287-4934
- Phone: 978-369-2888
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRYAN
SORROWS
Title or Position: FIRE CHIEF
Credential:
Phone: 978-369-2888