MEDICARE: TOWN OF BECKET

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
2	3416L0300X	Land Ambulance	3978	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590013755	OTHER	MA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	098459	OTHER	MA	BLUE CROSS MASS

General Provider Information

NPI Number	:	1306839410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF BECKET

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	:	629 JACOBS LADDER RD
Second Line	:
City	:	BECKET
State	:	MA
Zip	:	01223-3470
Country	:	US
Telephone Number	:	413-623-5027
Fax Number	:	603-623-6036

Authorized Official
Title or Position	:	EMS DIRECTOR
Name	:	RAY FERRIN
Credential	:
Telephone Number	:	413-623-5027

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	03/08/2019

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Directions to “TOWN OF BECKET ” Practice Location

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