MEDICARE: TOWN OF BLACKSTONE

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	3724	MA
2	3416L0300X	Land Ambulance	3724	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	035359	OTHER	MA	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	806688	OTHER	MA	TUFTS

General Provider Information

NPI Number	:	1053428953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF BLACKSTONE

Provider Business Mailing Address
First Line	:	8 TURCOTTE MEMORIAL DR
Second Line	:
City	:	ROWLEY
State	:	MA
Zip	:	01969-1706
Country	:	US
Telephone Number	:	800-488-4351
Fax Number	:	978-356-2721

Provider Business Practice Location Address
First Line	:	15 SAINT PAUL ST
Second Line	:
City	:	BLACKSTONE
State	:	MA
Zip	:	01504-2276
Country	:	US
Telephone Number	:	508-883-1500
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	MICHAEL SWEENEY
Credential	:
Telephone Number	:	508-883-1030

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	10/04/2013

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Directions to “TOWN OF BLACKSTONE ” Practice Location

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