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Organization

TOWN OF ANDOVER

Active
Other names
Andover Fire Department
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BRENDAN MANSFIELD (FIRE CHIEF)
(978) 475-1281
Entity
Organization

Contact information

Practice address
32 NORTH MAIN STREET, ANDOVER, MA 01810-3513
(978) 475-1281
(978) 475-6654
Mailing address
19 NORFOLK AVENUE, SOUTH EASTON, MA 02375-1911
(508) 297-2068
(508) 297-2699

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3056
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000028099
BMC HEALTHNET PLAN
MA
01
0008794
NEIGHBORHOOD HEALTH
MA
01
016059
MASS MEDEX
MA
01
103474100
DEPARTMENT OF LABOR
MA
01
10694
FALLON
MA
01
155028XX
PREFERRED CARE NY
NY
05
1700871
MA
01
590011162
RR MEDICARE
MA
01
700591
HARVARD PILGRIM
MA
01
801595
TUFTS
MA
Enumeration date
08/10/2005
Last updated
11/15/2012
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