Healthcare Provider Details

I. General information

NPI: 1629266929
Provider Name (Legal Business Name): TOWN OF HUBBARDSTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2007
Last Update Date: 09/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 MAIN ST SUITE A
HUBBARDSTON MA
01452
US

IV. Provider business mailing address

PO BOX 415 7A MAIN STREET
HUBBARDSTON MA
01452-0415
US

V. Phone/Fax

Practice location:
  • Phone: 978-928-1404
  • Fax: 978-928-3392
Mailing address:
  • Phone: 978-928-1404
  • Fax: 978-928-3392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number251KOOOOOX
License Number StateMA

VIII. Authorized Official

Name: MS. SANDRA J. KNIPE
Title or Position: CHAIRMAN BOARD OF HEALTH
Credential: RN
Phone: 978-928-1404