Healthcare Provider Details

I. General information

NPI: 1326021908
Provider Name (Legal Business Name): TOWN OF LENOX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 10/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 WALKER ST
LENOX MA
01240-2741
US

IV. Provider business mailing address

8 TURCOTTE MEMORIAL DR
ROWLEY MA
01969-1706
US

V. Phone/Fax

Practice location:
  • Phone: 413-637-5544
  • Fax:
Mailing address:
  • Phone: 800-488-4351
  • Fax: 978-356-2721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3348
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1715623
Identifier TypeMEDICAID
Identifier StateMA
Identifier Issuer
# 2
Identifier0021572
Identifier TypeOTHER
Identifier State
Identifier IssuerNEIGHBORHOOD HEALTH
# 3
Identifier000000024907
Identifier TypeOTHER
Identifier State
Identifier IssuerBMC HEALTHNET
# 4
Identifier156454XX
Identifier TypeOTHER
Identifier StateNY
Identifier IssuerPREFERRED CARE
# 5
Identifier590008195
Identifier TypeOTHER
Identifier State
Identifier IssuerRR MEDICARE
# 6
Identifier800758
Identifier TypeOTHER
Identifier State
Identifier IssuerTUFTS HEALTH PLAN
# 7
Identifier701496
Identifier TypeOTHER
Identifier State
Identifier IssuerHARVARD PILGRIM

VIII. Authorized Official

Name: CHRISTOPHER LONG
Title or Position: ADMINISTRATION
Credential:
Phone: 413-637-5544