Provider Demographics
NPI:1003034422
Name:TOWN OF SWAMPSCOTT
Entity Type:Organization
Organization Name:TOWN OF SWAMPSCOTT
Other - Org Name:SWAMPSCOTT HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PUBLIC HEALTH NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSEANNE
Authorized Official - Middle Name:LANETTE
Authorized Official - Last Name:MORRISSEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:781-596-8864
Mailing Address - Street 1:22 MONUMENT AVE
Mailing Address - Street 2:
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907-1977
Mailing Address - Country:US
Mailing Address - Phone:781-596-8864
Mailing Address - Fax:781-596-8818
Practice Address - Street 1:22 MONUMENT AVE
Practice Address - Street 2:
Practice Address - City:SWAMPSCOTT
Practice Address - State:MA
Practice Address - Zip Code:01907-1977
Practice Address - Country:US
Practice Address - Phone:781-596-8864
Practice Address - Fax:781-596-8818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY10385Medicaid