Provider Demographics
NPI:1366429482
Name:TOWN OF PLAINVILLE
Entity type:Organization
Organization Name:TOWN OF PLAINVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-695-5252
Mailing Address - Street 1:PO BOX 4110
Mailing Address - Street 2:DEPT 5850
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01888-4110
Mailing Address - Country:US
Mailing Address - Phone:508-695-5252
Mailing Address - Fax:
Practice Address - Street 1:190 SOUTH ST
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-1517
Practice Address - Country:US
Practice Address - Phone:508-695-5252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-29
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3029341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1701258Medicaid
000000025385OtherBMC HEALTHNET
0009618OtherNEIGHBORHOOD HEALTH
590006848OtherRR MEDICARE
700057OtherHARVARD PILGRIM
MA011859OtherBLUE CROSS BLUE SHIELD
80599OtherTUFTS HEALTH PLAN
700057OtherHARVARD PILGRIM