Provider Demographics
NPI:1750383121
Name:TOWN OF ASHLAND
Entity type:Organization
Organization Name:TOWN OF ASHLAND
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEPUTY FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:BOUSQUET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-271-1120
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 1:9 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:NH
Practice Address - Zip Code:03217
Practice Address - Country:US
Practice Address - Phone:603-968-7772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-15
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH01583416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH704946OtherHARVARD PILGRIM
NH30821083Medicaid
NH806896OtherTUFTS HEALTH PLAN
MA1720261Medicaid
NH71Y004976NH01OtherANTHEM BLUE CROSS
NHT300457097OtherNH MEDICARE