Organization
TOWN OF LEXINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK SENCABAUGH (CHIEF)
(781) 698-4605
Entity
Organization
Contact information
Practice address
45 BEDFORD ST, LEXINGTON, MA 02420-4339
(781) 698-4605
(781) 861-2791
Mailing address
PO BOX 4110, DEPT 1800, WOBURN, MA 01888-4110
(617) 682-1840
(617) 492-0344
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015459
BCBS PROVIDER NUMBER
MA
05
—
1703366
—
MA
Enumeration date
05/22/2006
Last updated
01/26/2021
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