Healthcare Provider Details

I. General information

NPI: 1801018999
Provider Name (Legal Business Name): CITY OF FALL RIVER MASS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GOVERNMENT CTR ROOM 431
FALL RIVER MA
02722-7700
US

IV. Provider business mailing address

1 GOVERNMENT CTR ROOM 431
FALL RIVER MA
02722-7700
US

V. Phone/Fax

Practice location:
  • Phone: 508-324-2422
  • Fax: 508-324-2544
Mailing address:
  • Phone: 508-324-2421
  • Fax: 508-324-2544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL J COUGHLIN
Title or Position: DIRECTOR
Credential:
Phone: 508-324-2421