Organization
TOWN OF WAREHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EVANS (EMS DIRECTOR)
(508) 295-6725
Entity
Organization
Contact information
Practice address
72 SANDWICH RD, WAREHAM, MA 02571-1629
(508) 295-6725
(508) 291-2867
Mailing address
9 MAIN ST, SUITE 2K, SUTTON, MA 01590-1660
(508) 476-9740
(508) 476-9748
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034559
BCBS PROVIDER NUMBER
MA
05
—
1707612
—
MA
Enumeration date
06/02/2006
Last updated
12/05/2008
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