Healthcare Provider Details

I. General information

NPI: 1184402901
Provider Name (Legal Business Name): TOWN OF TRURO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2023
Last Update Date: 10/18/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

344 US ROUTE 6
TRURO MA
02666-2013
US

IV. Provider business mailing address

PO BOX 2013
TRURO MA
02666-2013
US

V. Phone/Fax

Practice location:
  • Phone: 508-487-6589
  • Fax: 508-487-6708
Mailing address:
  • Phone: 508-487-6589
  • Fax: 508-487-6708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY JOSEPH COLLINS
Title or Position: FIRE CHIEF
Credential:
Phone: 508-487-6589