MEDICARE: TOWN OF RUTLAND

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	3697	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	801284	OTHER		TUFTS HEALTH PLAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	034759	OTHER	MA	BLUE CROSS BLUE SHIELD
4	0021209	OTHER		NEIGHBORHOOD HEALTH
5	701933	OTHER		HARVARD PILGRIM
6	137121FW	OTHER	NY	PREFERRED CARE
7	7300	OTHER		FALLON

General Provider Information

NPI Number	:	1174501308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF RUTLAND

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	:	240 MAIN ST
Second Line	:
City	:	RUTLAND
State	:	MA
Zip	:	01543-1300
Country	:	US
Telephone Number	:	508-886-4211
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	THOMAS RUCHALA
Credential	:
Telephone Number	:	508-886-4211

Provider Enumeration Date	:	01/06/2006
Last Update Date	:	08/22/2020

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Directions to “TOWN OF RUTLAND ” Practice Location

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