Healthcare Provider Details

I. General information

NPI: 1255385225
Provider Name (Legal Business Name): TOWN OF YARMOUTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 06/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 OLD MAIN ST
S YARMOUTH MA
02664-6010
US

IV. Provider business mailing address

9 MAIN ST SUITE 2K
SUTTON MA
01590-1660
US

V. Phone/Fax

Practice location:
  • Phone: 508-398-2212
  • Fax: 508-760-4861
Mailing address:
  • Phone: 508-476-9740
  • Fax: 508-476-9748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MICHAEL WALKER
Title or Position: FIRE CHIEF
Credential:
Phone: 508-398-2212