Healthcare Provider Details

I. General information

NPI: 1164556205
Provider Name (Legal Business Name): TOWN OF MAYNARD AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SUMMER ST.
MAYNARD MA
01754
US

IV. Provider business mailing address

1 SUMMER ST.
MAYNARD MA
01754
US

V. Phone/Fax

Practice location:
  • Phone: 978-897-1014
  • Fax: 978-897-3389
Mailing address:
  • Phone: 978-897-1014
  • Fax: 978-897-3389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. NANCY W. BROOKS
Title or Position: ADMIN. ASSIST. TO FIRE CHIEF
Credential:
Phone: 978-897-1014