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TOWN OF ANDOVER NPI 1619979796


NPI Information

NPI: 1619979796
Provider Name: TOWN OF ANDOVER

Doing Business As: ANDOVER FIRE DEPARTMENT

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 22D2144173

Address:
32 NORTH MAIN STREET
ANDOVER, MA
ZIP 01810
Phone: (978) 475-1281
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TOWN OF ANDOVER is a land transport ambulance in Andover, MA. TOWN OF ANDOVER NPI is 1619979796. The provider is registered as an organization entity type.
The provider Is Doing Business As Andover Fire Department.

The provider's business location address is:

32 NORTH MAIN STREET
ANDOVER, MA
ZIP 01810-513
Phone: (978) 475-1281
Fax: (978) 475-6654

The provider's authorized official is Michael Brendan Mansfield .
The authorized official title is Fire Chief and has the following contact phone number (978) 475-1281.

The CLIA number assigned to this NPI record is 22D2144173 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2005 and was last updated on 11/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand Transport3056MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1016059OTHERMASSACHUSETTSBC/BS
2016059OTHERMASSACHUSETTSMASS MEDEX
3103474100OTHERMASSACHUSETTSDEPARTMENT OF LABOR
410694OTHERMASSACHUSETTSFALLON
5155028XXOTHERNEW YORKPREFERRED CARE NY
6700591OTHERMASSACHUSETTSHARVARD PILGRIM
7801595OTHERMASSACHUSETTSTUFTS
8590011162OTHERMASSACHUSETTSRR MEDICARE
90008794OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH
10000000028099OTHERMASSACHUSETTSBMC HEALTHNET PLAN
11016059MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
121700871MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.