Organization
CITY OF LYNN MASSACHUSETTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELYSE FANNON (TREASURER)
(781) 586-6908
Entity
Organization
Contact information
Practice address
73 HOLLINGSWORTH ST, LYNN, MA 01902
(781) 593-1234
(781) 596-1480
Mailing address
725 WESTERN AVE, LYNN, MA 01905-2255
(781) 593-1234
(781) 596-1480
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3033
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021757
BMC HEALTHNET
—
01
—
0020271
NEIGHBORHOOD HEALTH
—
01
—
103514000
US DEPARTMENT OF LABOR
—
01
—
155967XX
PREFERRED CARE
NY
05
—
1720040
—
MA
01
—
704323
HARVARD PILGRIM
—
01
—
806813
TUFTS HEALTH PLAN
—
01
—
AM0087
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/29/2005
Last updated
06/25/2026
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