Healthcare Provider Details

I. General information

NPI: 1881693000
Provider Name (Legal Business Name): TOWN OF WARREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 08/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 MAIN ST
WARREN MA
01083
US

IV. Provider business mailing address

8 TURCOTTE MEMORIAL DR
ROWLEY MA
01969-1706
US

V. Phone/Fax

Practice location:
  • Phone: 413-436-5444
  • Fax: 413-436-0244
Mailing address:
  • Phone: 800-488-4351
  • Fax: 978-356-2721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number2571
License Number StateMA

VIII. Authorized Official

Name: MR. JAMES DOLAN
Title or Position: FIRE CHIEF
Credential:
Phone: 413-436-5444