Organization
TOWN OF TISBURY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MCLEAN (TREASURER)
(508) 696-4250
Entity
Organization
Contact information
Practice address
51 SPRING ST, TISBURY, MA 02568-5501
(508) 696-4250
Mailing address
8 TURCOTTE MEMORIAL DR, ROWLEY, MA 01969-1706
(800) 488-4351
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3153
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095059
BLUE CROSS BLUE SHIELD
MA
05
—
1720015
—
MA
01
—
590014097
RR MEDICARE
—
01
—
706250
HARVARD PILGRIM
—
01
—
802758
TUFTS HEALTH PLAN
—
Enumeration date
02/09/2006
Last updated
11/23/2013
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