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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