Healthcare Provider Details

I. General information

NPI: 1427179324
Provider Name (Legal Business Name): TOWN OF WARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 06/17/2020
Certification Date: 06/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WEST ST
WARE MA
01082-1598
US

IV. Provider business mailing address

19 NORFOLK AVE
SOUTH EASTON MA
02375-1911
US

V. Phone/Fax

Practice location:
  • Phone: 413-967-9631
  • Fax: 413-967-9632
Mailing address:
  • Phone: 508-297-2068
  • Fax: 508-297-2699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3315
License Number StateMA

VIII. Authorized Official

Name: MR. THOMAS WALTER COULOMBE
Title or Position: FIRE CHIEF
Credential:
Phone: 413-967-9631