Organization
TOWN OF YARMOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WALKER (FIRE CHIEF)
(508) 398-2212
Entity
Organization
Contact information
Practice address
96 OLD MAIN ST, S YARMOUTH, MA 02664-6010
(508) 398-2212
(508) 760-4861
Mailing address
9 MAIN ST, SUITE 2K, SUTTON, MA 01590-1660
(508) 476-9740
(508) 476-9748
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095759
BCBS PROVIDER NUMBER
MA
05
—
1714805
—
MA
Enumeration date
05/22/2006
Last updated
06/14/2012
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