Healthcare Provider Details

I. General information

NPI: 1619161098
Provider Name (Legal Business Name): TOWN OF ROCHESTER/BOARD OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2007
Last Update Date: 08/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 MARION RD
ROCHESTER MA
02770-4113
US

IV. Provider business mailing address

37 MARION RD
ROCHESTER MA
02770-4113
US

V. Phone/Fax

Practice location:
  • Phone: 508-763-5421
  • Fax: 508-763-5379
Mailing address:
  • Phone: 508-763-5421
  • Fax: 508-763-5379

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: MR. DALE S. BARROWS
Title or Position: CHAIRMAN, BOARD OF HEALTH
Credential:
Phone: 508-763-5421