Organization
TOWN OF WATERTOWN
Active
Other names
Watertown Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN NICHOLSON (CHIEF)
(617) 972-6511
Entity
Organization
Contact information
Practice address
149 MAIN ST, WATERTOWN, MA 02472-4410
(617) 972-6511
Mailing address
149 MAIN ST, WATERTOWN, MA 02472-4410
(617) 682-1854
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3437
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000023044
BMC HEALTHNET PLAN
—
01
—
0007373
NEIGHBORHOOD HEALTH
—
01
—
035559
BLUE CROSS BLUE SHIELD
MA
05
—
1707981
—
MA
01
—
249573200
DEPARTMENT OF LABOR
—
01
—
590005406
RR MEDICARE
—
01
—
700879
HARVARD PILGRIM
—
01
—
801818
TUFTS HEALTH PLAN
—
Enumeration date
02/28/2006
Last updated
03/10/2023
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