Healthcare Provider Details

I. General information

NPI: 1225048895
Provider Name (Legal Business Name): TOWN OF DRACUT, BOARD OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 SPRING PARK AVE TOWN HALL ANNEX
DRACUT MA
01826-3829
US

IV. Provider business mailing address

11 SPRING PARK AVE TOWN HALL ANNEX
DRACUT MA
01826-3829
US

V. Phone/Fax

Practice location:
  • Phone: 978-453-8162
  • Fax: 978-453-9320
Mailing address:
  • Phone: 978-453-8162
  • Fax: 978-453-9320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: EVAN N THEMELES
Title or Position: CHAIRMAN
Credential:
Phone: 978-453-8162