Healthcare Provider Details

I. General information

NPI: 1164467015
Provider Name (Legal Business Name): TOWN OF CARVER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110A MAIN ST
CARVER MA
02330-1325
US

IV. Provider business mailing address

PO BOX 468
CARVER MA
02330-0468
US

V. Phone/Fax

Practice location:
  • Phone: 508-866-3433
  • Fax: 508-866-2566
Mailing address:
  • Phone: 508-866-3433
  • Fax: 508-866-2566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3084
License Number StateMA

VIII. Authorized Official

Name: MR. MICHAEL B RYAN
Title or Position: EMS CHIEF
Credential: EMS
Phone: 508-866-3421