Provider Demographics
NPI:1497739213
Name:CITY OF NEW BEDFORD
Entity type:Organization
Organization Name:CITY OF NEW BEDFORD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-991-6390
Mailing Address - Street 1:181 HILLMAN ST BLDG 4181
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-4346
Mailing Address - Country:US
Mailing Address - Phone:508-991-6390
Mailing Address - Fax:
Practice Address - Street 1:181 HILLMAN ST UNIT 4
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-4346
Practice Address - Country:US
Practice Address - Phone:508-991-6390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-05
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3469341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
00000021774OtherBMC HEALTHNET
7000279OtherHARVARD PILGRIM
0008117OtherNEIGHBORHOOD HEALTH
VC6000192118OtherCOMM OF MASS WORKERS COMP
MA030759OtherBCBS
249577400OtherDEPARTMENT OF LABOR
801127OtherTUFTS HEALTH PLAN
MA1705849Medicaid
590008287OtherRR MEDICARE
00000021774OtherBMC HEALTHNET