Provider Demographics
NPI:1972580611
Name:TOWN OF NORTHBOROUGH
Entity type:Organization
Organization Name:TOWN OF NORTHBOROUGH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PARENTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-393-1537
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 1:11 PIERCE ST
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-1907
Practice Address - Country:US
Practice Address - Phone:508-393-1537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-23
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3027341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
7260OtherFALLON COMMUNITY HEALTH
590013683OtherRR MEDICARE
249568300OtherDEPARTMENT OF LABOR
MA011159OtherBLUE CROSS BLUE SHIELD
800472Other21ST CENTURY HEALTH
800472OtherTUFTS HEALTH PLAN
700515OtherHARVARD PILGRIM
MA1708805Medicaid
700515OtherHARVARD PILGRIM