MEDICARE: TOWN OF PLYMPTON

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
1	341600000X	Ambulance	3024	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	101359	OTHER	MA	BLUE CROSS BLUE SHIELD
2	704598	OTHER		HARVARD PILGRIM
3	690913	OTHER		TUFTS HEALTH PLAN
4	000000026204	OTHER		BMC HEALTHNET PLAN
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043298730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF PLYMPTON

Provider Business Mailing Address
First Line	:	8 TURCOTTE MEMORIAL DR
Second Line	:
City	:	ROWLEY
State	:	MA
Zip	:	01969-1706
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 PALMER RD
Second Line	:
City	:	PLYMPTON
State	:	MA
Zip	:	02367-1110
Country	:	US
Telephone Number	:	781-585-2633
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	DAVE RICH
Credential	:
Telephone Number	:	781-585-2633

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	08/22/2020

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Directions to “TOWN OF PLYMPTON ” Practice Location

Language	Start Address	Practice Location

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