Organization
TOWN OF EDGARTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER G SHEMETH (CHIEF)
(508) 627-5167
Entity
Organization
Contact information
Practice address
68 PEASE POINT WAY, EDGARTOWN, MA 02539
(508) 627-5167
Mailing address
9 MAIN ST STE 2K, SUTTON, MA 01590-1660
(508) 476-9740
(508) 476-9748
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023906
NEIGHBORHOOD HEALTH
—
01
—
031859
BCBS
MA
01
—
0593297
BLUE CROSS BLUE SHIELD
—
05
—
1720708
—
MA
05
—
30011192
—
NH
01
—
590013475
RR MEDICARE
—
01
—
700087
HARVARD PILGRIM
—
01
—
MA4523
HEALTH NET FEDERAL
—
Enumeration date
10/31/2005
Last updated
07/10/2008
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