Organization
TOWN OF CHATHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AMBRISCOE (FIRE CHIEF)
(508) 945-2324
Entity
Organization
Contact information
Practice address
135 DEPOT RD, CHATHAM, MA 02633-2011
(508) 945-2324
(508) 945-5120
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
—
038459
BCBS PROVIDER NUMBER
MA
05
—
1710443
—
MA
Enumeration date
06/25/2006
Last updated
11/17/2008
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