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NPI Code Detail

MEDICARE: TOWN OF BOURNE

MEDICARE: TOWN OF BOURNE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2016259OTHERMABCBS PROVIDER NUMBER

General Provider Information

NPI Number : 1013943687
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOWN OF BOURNE
Provider Business Mailing Address
First Line : 9 MAIN ST
Second Line : SUITE 2K
City : SUTTON
State : MA
Zip : 01590-1660
Country : US
Telephone Number : 508-476-9740
Fax Number : 508-476-9748
Provider Business Practice Location Address
First Line : 130 MAIN ST
Second Line :
City : BUZZARDS BAY
State : MA
Zip : 02532-3221
Country : US
Telephone Number : 508-759-4412
Fax Number : 508-759-9585
Authorized Official
Title or Position : FIRE CHIEF
Name : MARTIN GREENE
Credential :
Telephone Number : 508-759-4412
Provider Enumeration Date : 06/24/2006
Last Update Date : 06/14/2012

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Directions to “TOWN OF BOURNE ” Practice Location

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