Healthcare Provider Details

I. General information

NPI: 1457335978
Provider Name (Legal Business Name): TOWN OF MEDWAY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 02/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 MILFORD ST
MEDWAY MA
02053-2217
US

IV. Provider business mailing address

8 TURCOTTE MEMORIAL DR
ROWLEY MA
01969-1706
US

V. Phone/Fax

Practice location:
  • Phone: 508-533-3209
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3419
License Number StateMA

VIII. Authorized Official

Name: WAYNE VINTON
Title or Position: CHIEF
Credential:
Phone: 508-533-3209