Healthcare Provider Details
I. General information
NPI: 1093790768
Provider Name (Legal Business Name): TOWN OF NORTH ANDOVER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/14/2005
Last Update Date: 08/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
795 CHICKERING RD
NORTH ANDOVER MA
01845-1902
US
IV. Provider business mailing address
8 TURCOTTE MEMORIAL DR
ROWLEY MA
01969-1706
US
V. Phone/Fax
- Phone: 978-688-9590
- Fax:
- Phone: 800-488-4351
- Fax: 978-356-2721
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | 3061 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
MCCARTHY
Title or Position: CHIEF
Credential:
Phone: 978-688-9590