Organization
CITY OF LEOMINSTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R LAPLANTE (TREASURER, CITY OF LEOMINSTER)
(978) 534-7509
Entity
Organization
Contact information
Practice address
19 CHURCH ST, LEOMINSTER, MA 01453-3110
(978) 534-7545
(978) 537-6567
Mailing address
19 NORFOLK AVE STE B, SOUTH EASTON, MA 02375-1911
(888) 771-6115
(978) 356-2721
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3288
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012583
NEIGHBORHOOD HEALTH PLAN
MA
01
—
011459
BLUE CROSS PROVIDER NUMBR
MA
05
—
1700294
—
MA
01
—
590006997
RAILROAD MEDICARE
MA
Enumeration date
08/02/2006
Last updated
06/16/2020
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