Provider Demographics
NPI:1386617819
Name:TOWN OF STOW
Entity type:Organization
Organization Name:TOWN OF STOW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-897-4537
Mailing Address - Street 1:PO BOX 4110
Mailing Address - Street 2:DEPT 3380
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01888-4110
Mailing Address - Country:US
Mailing Address - Phone:978-897-4537
Mailing Address - Fax:
Practice Address - Street 1:511 GREAT RD
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:MA
Practice Address - Zip Code:01775-1054
Practice Address - Country:US
Practice Address - Phone:978-897-4537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-07
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3516341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1720473Medicaid
90007625OtherRR MEDICARE
802128OtherTUFTS HEALTH PLAN
0022172OtherNEIGHBORHOOD HEALTH
000000026628OtherBMC HEALTHNET PLAN
606569200OtherDEPARTMENT OF LABOR
700789OtherHARVARD PILGRIM
MA076659OtherBLUE CROSS BLUE SHIELD
MA032759Medicare ID - Type Unspecified