Provider Demographics
NPI:1104817949
Name:TOWN OF HAMILTON
Entity type:Organization
Organization Name:TOWN OF HAMILTON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:
Authorized Official - Last Name:CULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-468-1212
Mailing Address - Street 1:8 TURCOTTE MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1706
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:265 BAY RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MA
Practice Address - Zip Code:01982-2234
Practice Address - Country:US
Practice Address - Phone:978-468-1212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-01
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3186341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
0020608OtherNEIGHBORHOOD HEALTH
MA1714155Medicaid
606565900OtherUS DEPARTMENT OF LABOR
590007315OtherRR MEDICARE
701773OtherHARVARD PILGRIM
801781OtherTUFTS HEALTH PLAN
0020608OtherNEIGHBORHOOD HEALTH
MA1714155Medicaid