Organization
SPENCER RESCUE & EMERGENCY SQUAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY D. SUTER (EXECUTIVE DIRECTOR)
(508) 885-4476
Entity
Organization
Contact information
Practice address
9 MAIN ST STE 2K, SUTTON, MA 01590-1660
(508) 476-9740
(508) 476-9748
Mailing address
6 BIXBY RD, P.O. BOX 147, SPENCER, MA 01562-2402
(508) 885-4476
(508) 885-0315
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3308
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000005959
BLUE CROSS BLUE SHIELD
MA
05
—
1700847
—
MA
Enumeration date
03/16/2007
Last updated
01/11/2011
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