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Organization
TOWN OF KINGSTON
Active
Organization
TOWN OF KINGSTON
Active
Other names
Kingston Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DOUGLASS (CHIEF)
(781) 585-0531
Entity
Organization
Contact information
Practice address
105 PEMBROKE ST, KINGSTON, MA 02364-1103
(781) 585-0531
Mailing address
PO BOX 4110, DEPT 5280, WOBURN, MA 01888-4110
(781) 585-0531
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3130
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000026329
BMC HEALTHNET PLAN
—
01
—
0018977
NEIGHBORHOOD HEALTH
—
05
—
1713868
—
MA
01
—
590006201
RR MEDICARE
—
01
—
700623
HARVARD PILGRIM
—
01
—
801897
TUFTS HEALTH PLAN
—
Enumeration date
11/23/2005
Last updated
01/26/2021
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