Healthcare Provider Details

I. General information

NPI: 1437129392
Provider Name (Legal Business Name): TOWN OF SOUTH HADLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 MAIN ST
SOUTH HADLEY MA
01075-2833
US

IV. Provider business mailing address

8 TURCOTTE MEMORIAL DR
ROWLEY MA
01969-1706
US

V. Phone/Fax

Practice location:
  • Phone: 413-538-5017
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3334
License Number StateMA

VIII. Authorized Official

Name: KENNETH MCKENNA
Title or Position: AMBULANCE DIRECTOR
Credential:
Phone: 413-538-5017