Provider Demographics
NPI:1568459337
Name:TOWN OF COHASSET
Entity type:Organization
Organization Name:TOWN OF COHASSET
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DOCKRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-383-0616
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:800-488-4351
Mailing Address - Fax:978-356-2721
Practice Address - Street 1:44 ELM ST
Practice Address - Street 2:
Practice Address - City:COHASSET
Practice Address - State:MA
Practice Address - Zip Code:02025-1831
Practice Address - Country:US
Practice Address - Phone:781-383-6154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3003341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000023332OtherBMC HEALTHNET PLAN
0019104OtherNEIGHBORHOOD HEALTH
MA017959OtherBLUE CROSS BLUE SHEILD
802701OtherTUFTS HEALTH PLAN
590007148OtherRR MEDICARE
700553OtherHARVARD PILGRIM
MA1700979Medicaid
MA1700979Medicaid