Healthcare Provider Details

I. General information

NPI: 1700815941
Provider Name (Legal Business Name): TOWN OF STERLING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 01/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 MAIN STREET
STERLING MA
01564-1441
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 978-422-3040
  • Fax: 978-422-7832
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 Number3310
License Number StateMA

VIII. Authorized Official

Name: DAVID C HURLBUT
Title or Position: FIRE CHIEF
Credential: F.C.
Phone: 978-422-3040