MEDICARE: TOWN OF DEERFIELD

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	3375	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	806288	OTHER	TUFTS HEALTH PLAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	704113	OTHER	HARVARD PILGRIM
4	000000026643	OTHER	BMC HEALTHNET PLAN

General Provider Information

NPI Number	:	1073502852
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF DEERFIELD

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	:

Provider Business Practice Location Address
First Line	:	8 CONWAY ST
Second Line	:
City	:	S DEERFIELD
State	:	MA
Zip	:	01373-1021
Country	:	US
Telephone Number	:	431-665-8814
Fax Number	:

Authorized Official
Title or Position	:	AMBULANCE DEPARTMENT MANAGER
Name	:	DAVID ZAMOJSKI
Credential	:
Telephone Number	:	431-665-8814

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	08/22/2020

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Directions to “TOWN OF DEERFIELD ” Practice Location

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