Provider Demographics
NPI:1174524276
Name:CITY OF AMESBURY
Entity type:Organization
Organization Name:CITY OF AMESBURY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:E
Authorized Official - Last Name:BERKENBUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-388-8185
Mailing Address - Street 1:PO BOX 986500, DEPT 2050
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02298-6500
Mailing Address - Country:US
Mailing Address - Phone:617-492-8484
Mailing Address - Fax:617-492-0806
Practice Address - Street 1:17 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-2812
Practice Address - Country:US
Practice Address - Phone:978-388-8185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-10
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA30523416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA590008830OtherRR MEDICARE
MA014859OtherBC/BS
MA800594OtherTUFTS HEALTH PLAN
MA701404OtherHARBARD PILGRIM
MA014859OtherMASS MEDEX
MA1705334Medicaid
MA0009094OtherNEIGHBORHOOD HEALTH
MA014859OtherBC/BS