MEDICARE: TOWN OF ROCKPORT

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	3205	MA

General Provider Information

NPI Number	:	1679516462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF ROCKPORT

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	:	37 BROADWAY
Second Line	:
City	:	ROCKPORT
State	:	MA
Zip	:	01966-1538
Country	:	US
Telephone Number	:	978-479-3487
Fax Number	:	978-546-7297

Authorized Official
Title or Position	:	AMBULANCE DEPARTMENT HEAD
Name	:	ROSEMARY LESCH
Credential	:
Telephone Number	:	978-479-3487

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	11/04/2019

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Directions to “TOWN OF ROCKPORT ” Practice Location

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