Healthcare Provider Details

I. General information

NPI: 1861475378
Provider Name (Legal Business Name): TOWN OF MANCHESTER-BY-THE-SEA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 10/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 SCHOOL ST
MANCHESTER MA
01944-1336
US

IV. Provider business mailing address

8 TURCOTTE MEMORIAL DR
ROWLEY MA
01969-1706
US

V. Phone/Fax

Practice location:
  • Phone: 978-526-4040
  • 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 Number3192
License Number StateMA

VIII. Authorized Official

Name: ANDREW PASKALIS
Title or Position: CHIEF
Credential:
Phone: 978-526-4040