MEDICARE: TOWN OF NORTHFIELD

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	3951	MA

General Provider Information

NPI Number	:	1386845683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF NORTHFIELD

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	:	93 MAIN ST
Second Line	:
City	:	NORTHFIELD
State	:	MA
Zip	:	01360-1015
Country	:	US
Telephone Number	:	413-498-5100
Fax Number	:	413-498-5103

Authorized Official
Title or Position	:	EMS DIRECTOR
Name	:	MR. MARK D FORTIER
Credential	:	EMT - B
Telephone Number	:	413-498-2901

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	10/20/2013

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