Provider Demographics
NPI:1891783874
Name:COTUIT FIRE DISTRICT
Entity type:Organization
Organization Name:COTUIT FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-428-2210
Mailing Address - Street 1:PO BOX 4110, DEPT 5840
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01888-4110
Mailing Address - Country:US
Mailing Address - Phone:508-428-2210
Mailing Address - Fax:
Practice Address - Street 1:64 HIGH ST
Practice Address - Street 2:
Practice Address - City:COTUIT
Practice Address - State:MA
Practice Address - Zip Code:02635-3015
Practice Address - Country:US
Practice Address - Phone:508-428-2210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-12
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3087341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1710834Medicaid
590008069OtherRR MEDICARE
CT700763OtherHARVARD PILGRIM
MA041159OtherBLUE CROSS BLUE SHEILD
729329OtherTUFTS HEALTH PLAN
MA041159OtherBLUE CROSS BLUE SHEILD
CT700763OtherHARVARD PILGRIM