TOWN OF EAST BROOKFIELD; NPI #1356330393

Contact Information

TOWN OF EAST BROOKFIELD

273 E MAIN ST
EAST BROOKFIELD, MA 01515-1617

Phone: 508-867-3124
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for TOWN OF EAST BROOKFIELD

NPI Number 1356330393

LBN Legal business name TOWN OF EAST BROOKFIELD

Authorized official JOHN MILLER - (ADMINISTRATION)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/20/2005

Last updated 08/22/2020 - About 6 years ago

Identifiers

MA	License #	3275
MA	Medicaid	1713213
NH	Medicaid	30820319
	Other	0625800	ANTHEM BLUE CROSS
	Other	7074	FALLON COMMUNITY
	Other	0017791	NEIGHBORHOOD HEALTH
	Other	0460001138	TRICARE
	Other	803118	TUFTS HEALTH PLAN
CT	Other	701954	HARVARD PILGRIM
MA	Other	077259	BLUE CROSS BLUE SHIELD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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TOWN OF EAST BROOKFIELD

Contact Information

Specialty

Ambulance

NPI Profile & details for TOWN OF EAST BROOKFIELD

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