Provider Demographics
NPI:1871554121
Name:TOWN OF WILMINGTON
Entity type:Organization
Organization Name:TOWN OF WILMINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TOWN MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-658-3311
Mailing Address - Street 1:8 TURCOTTE MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1706
Mailing Address - Country:US
Mailing Address - Phone:800-488-4351
Mailing Address - Fax:
Practice Address - Street 1:121 GLEN RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887-3500
Practice Address - Country:US
Practice Address - Phone:978-658-3311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3251341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1701401Medicaid
800410OtherTUFTS HEALTH PLAN
0010332OtherNEIGHBORHOOD HEALTH
700835OtherHARVARD PILGRIM
000000032127OtherBMC HEALTHNET PLAN
MA012559OtherBLUE CROSS BLUE SHIELD
970674OtherNETWORK HEALTH
000000032127OtherBMC HEALTHNET PLAN