1275513095 NPI number — TOWN OF SEEKONK

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275513095 NPI number — TOWN OF SEEKONK

Employer Identification Number (EIN):

Provider Organization Name:

TOWN OF SEEKONK

Provider Last Name:

Provider First Name:

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

Provider Gender Code:

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

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Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1275513095

Entity Type Code:

Organization

Replacement NPI:

Last Update Date:

01/25/2024

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

500 TAUNTON AVE

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

SEEKONK

Provider Business Mailing Address State Name:

MA

Provider Business Mailing Address Postal Code:

02771-3112

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

508-336-8510

Provider Business Mailing Address Fax Number:

978-356-2721

Provider First Line Business Practice Location Address:

170 COUNTY ST

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

SEEKONK

Provider Business Practice Location Address State Name:

MA

Provider Business Practice Location Address Postal Code:

02771-5605

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

508-336-8510

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

01/18/2006

Authorized Official Last Name:

DALESSIO

Authorized Official First Name:

ADAM

Authorized Official Middle Name:

Authorized Official Title or Position:

CHIEF

Authorized Official Telephone Number:

508-336-8510

• Taxonomy code: 341600000X , with the licence number:  3146 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 3416L0300X , with the licence number: 3146 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 035759 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 000000027995 . This is a "BMC HEALTHNET PLAN" identifier . This identifiers is of the category "OTHER".
• Identifier: 0023778 . This is a "NEIGHBORHOOD HEALTH" identifier . This identifiers is of the category "OTHER".
• Identifier: 803289 . This is a "TUFTS HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
• Identifier: 0000022497 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
• Identifier: 590009743 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 1715976 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
• Identifier: 700285 . This is a "HARVARD PILGRIM" identifier . This identifiers is of the category "OTHER".
• Identifier: 249566900 . This is a "DEPARTMENT OF LABOR" identifier . This identifiers is of the category "OTHER".
• Identifier: 0035759 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
• Identifier: BQ409614 . This is a "BLUE CHIP" identifier . This identifiers is of the category "OTHER".