Healthcare Provider Details

I. General information

NPI: 1114056975
Provider Name (Legal Business Name): TOWN OF MIDDLEBOROUGH-HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CENTRE ST
MIDDLEBORO MA
02346-2270
US

IV. Provider business mailing address

20 CENTRE ST
MIDDLEBORO MA
02346-2270
US

V. Phone/Fax

Practice location:
  • Phone: 508-946-2408
  • Fax: 508-946-2321
Mailing address:
  • Phone: 508-946-2408
  • Fax: 508-946-2321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JEANNE C SPALDING
Title or Position: HEALTH OFFICER
Credential:
Phone: 508-946-2408