Provider Demographics
NPI:1619951928
Name:TOWN OF MILLIS
Entity type:Organization
Organization Name:TOWN OF MILLIS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-376-2361
Mailing Address - Street 1:885 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILLIS
Mailing Address - State:MA
Mailing Address - Zip Code:02054-1504
Mailing Address - Country:US
Mailing Address - Phone:508-376-2361
Mailing Address - Fax:
Practice Address - Street 1:885 MAIN ST
Practice Address - Street 2:
Practice Address - City:MILLIS
Practice Address - State:MA
Practice Address - Zip Code:02054-1504
Practice Address - Country:US
Practice Address - Phone:508-376-5112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3019341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
0009056OtherNEIGHBORHOOD HEALTH
MA1708473Medicaid
590002420OtherRR MEDICARE
0596229OtherBLUE CROSS
800260OtherTUFTS HEALTH PLAN
700132OtherHARVARD PILGRIM
NH30008909Medicaid
NH30008909Medicaid