MEDICARE: TOWN OF FREETOWN

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	3104	MA

Other Identifiers

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

General Provider Information

NPI Number	:	1306835889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF FREETOWN

Provider Business Mailing Address
First Line	:	25 BULLOCK RD
Second Line	:
City	:	EAST FREETOWN
State	:	MA
Zip	:	02717-1018
Country	:	US
Telephone Number	:	508-763-4828
Fax Number	:	508-763-4837

Provider Business Practice Location Address
First Line	:	25 BULLOCK RD
Second Line	:
City	:	EAST FREETOWN
State	:	MA
Zip	:	02717-1018
Country	:	US
Telephone Number	:	508-763-4828
Fax Number	:	508-763-4837

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	MR. WAYNE A HASKINS
Credential	:
Telephone Number	:	508-763-4828

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	06/16/2008

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Directions to “TOWN OF FREETOWN ” Practice Location

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