Healthcare Provider Details

I. General information

NPI: 1780741207
Provider Name (Legal Business Name): TOWN OF SHIRLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 11/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 KEADY WAY
SHIRLEY MA
01464-2630
US

IV. Provider business mailing address

7 KEADY WAY
SHIRLEY MA
01464-2630
US

V. Phone/Fax

Practice location:
  • Phone: 978-425-2600
  • Fax: 978-234-7118
Mailing address:
  • Phone: 978-425-2600
  • Fax: 978-234-7118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LISA GIBBONS
Title or Position: AMBULANCE OFFICE MANAGER
Credential:
Phone: 978-425-2600