Provider Demographics
NPI:1992896443
Name:TOWN OF HANSON
Entity type:Organization
Organization Name:TOWN OF HANSON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-293-9571
Mailing Address - Street 1:505 LIBERTY STREET
Mailing Address - Street 2:
Mailing Address - City:HANSON
Mailing Address - State:MA
Mailing Address - Zip Code:02341
Mailing Address - Country:US
Mailing Address - Phone:781-293-9571
Mailing Address - Fax:781-293-7526
Practice Address - Street 1:505 LIBERTY STREET
Practice Address - Street 2:
Practice Address - City:HANSON
Practice Address - State:MA
Practice Address - Zip Code:02341
Practice Address - Country:US
Practice Address - Phone:781-293-9571
Practice Address - Fax:781-293-7526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X
MA35923416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA700150OtherHARVARD PILGRIM HEALTH
MA1710737Medicaid
MA073059OtherBLUE CROSS BLUE SHIELD
MA702372OtherTUFTS HEALTH CARE
MA073059OtherBLUE CROSS BLUE SHIELD