Provider Demographics
NPI:1316949795
Name:TOWN OF AYER
Entity type:Organization
Organization Name:TOWN OF AYER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PEDRAZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-772-8231
Mailing Address - Street 1:9 MAIN ST STE 2K
Mailing Address - Street 2:
Mailing Address - City:SUTTON
Mailing Address - State:MA
Mailing Address - Zip Code:01590-1660
Mailing Address - Country:US
Mailing Address - Phone:508-476-9740
Mailing Address - Fax:508-476-9748
Practice Address - Street 1:1 MAIN ST
Practice Address - Street 2:
Practice Address - City:AYER
Practice Address - State:MA
Practice Address - Zip Code:01432-1365
Practice Address - Country:US
Practice Address - Phone:978-772-8231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-15
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA38573416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA039859OtherBC/BS OF MA
MA590080062OtherRR MEDICARE
MA700394OtherHARVARD PILGRIM
MA1709119Medicaid
MA800427OtherTUFTS HEALTH PLAN
MA7017OtherFALLON
MA039859OtherMASS MEDEX
MA0007519OtherNEIGHBORHOOD HEALTH
MA1709119Medicaid