Healthcare Provider Details

I. General information

NPI: 1053365981
Provider Name (Legal Business Name): TOWN OF LEXINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 01/26/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 BEDFORD ST
LEXINGTON MA
02420-4339
US

IV. Provider business mailing address

PO BOX 4110, DEPT 1800
WOBURN MA
01888-4110
US

V. Phone/Fax

Practice location:
  • Phone: 781-698-4605
  • Fax: 781-861-2791
Mailing address:
  • Phone: 617-682-1840
  • Fax: 617-492-0344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DEREK SENCABAUGH
Title or Position: CHIEF
Credential:
Phone: 781-698-4605