=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043298730
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TOWN OF PLYMPTON
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/04/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3 PALMER RD
-----------------------------------------------------
City | PLYMPTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02367-1110
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-585-2633
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8 TURCOTTE MEMORIAL DR
-----------------------------------------------------
City | ROWLEY
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01969-1706
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF
-----------------------------------------------------
Name | DAVE RICH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 781-585-2633
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number | 3024
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------