Healthcare Provider Details

I. General information

NPI: 1104817931
Provider Name (Legal Business Name): TOWN OF GOSHEN FIRE DEPARTMENT AMBULANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 MAIN ST
GOSHEN MA
01032-9610
US

IV. Provider business mailing address

8 TURCOTTE DR MEMORIAL DRIVE
ROWLEY MA
01969-1706
US

V. Phone/Fax

Practice location:
  • Phone: 413-268-7161
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3379
License Number StateMA

VIII. Authorized Official

Name: FRANCIS DRESSER
Title or Position: CHIEF
Credential:
Phone: 413-268-7161