Organization
TOWN OF BEDFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GRUNES (FIRE CHIEF)
(781) 275-7262
Entity
Organization
Contact information
Practice address
55 THE GREAT RD, BEDFORD, MA 01730-2152
(781) 275-7262
(781) 275-3834
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
—
019459
BCBS PROVIDER NUMBER
MA
05
—
1700928
—
MA
Enumeration date
05/23/2006
Last updated
09/22/2009
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