Provider Demographics
NPI:1124002902
Name:TOWN OF MILLVILLE
Entity type:Organization
Organization Name:TOWN OF MILLVILLE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TREASURER/COLLECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SNELLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-883-7449
Mailing Address - Street 1:290 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01529-1724
Mailing Address - Country:US
Mailing Address - Phone:508-883-7449
Mailing Address - Fax:
Practice Address - Street 1:196 MAIN STREET
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:MA
Practice Address - Zip Code:01529
Practice Address - Country:US
Practice Address - Phone:508-883-4740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-05
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3937341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
700498OtherHARVARD PILGRIM
MA1712446Medicaid
590013292OtherRR MEDICARE
770022OtherTUFTSHEALTH PLAN
0019405OtherNEIGHBORHOOD HEALTH
0019405OtherNEIGHBORHOOD HEALTH
=========OtherTRICARE