Provider Demographics
NPI:1093838773
Name:TOWN OF MARION
Entity Type:Organization
Organization Name:TOWN OF MARION
Other - Org Name:MARION BOARD OF HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:S
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, NP
Authorized Official - Phone:508-748-3530
Mailing Address - Street 1:2 SPRING ST
Mailing Address - Street 2:BOH
Mailing Address - City:MARION
Mailing Address - State:MA
Mailing Address - Zip Code:02738-1519
Mailing Address - Country:US
Mailing Address - Phone:508-748-3530
Mailing Address - Fax:508-748-2545
Practice Address - Street 1:2 SPRING ST
Practice Address - Street 2:BOH
Practice Address - City:MARION
Practice Address - State:MA
Practice Address - Zip Code:02738-1519
Practice Address - Country:US
Practice Address - Phone:508-748-3530
Practice Address - Fax:508-748-2545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare