Organization
TOWN OF CONWAY
Active
Other names
Town of Conway Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE O'CONNELL EMT (AMBULANCE DIECTOR)
(413) 369-4055
Entity
Organization
Contact information
Practice address
ASHFIELD ROAD, CONWAY, MA 01341-0412
(413) 369-4055
Mailing address
32 MAIN STREETL, PO BOX 412, CONWAY, MA 01341-0412
(413) 369-4055
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3370
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013159
BCBS
MA
05
—
1700995
—
MA
Enumeration date
10/12/2006
Last updated
03/04/2008
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