Provider Demographics
NPI:1154656262
Name:TOWN OF CARLISLE
Entity Type:Organization
Organization Name:TOWN OF CARLISLE
Other - Org Name:BOARD OF HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:HEALTH AGENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FANTASIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-369-0283
Mailing Address - Street 1:66 WESTFORD ST
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:MA
Mailing Address - Zip Code:01741-1582
Mailing Address - Country:US
Mailing Address - Phone:978-369-0283
Mailing Address - Fax:978-369-4521
Practice Address - Street 1:66 WESTFORD ST
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:MA
Practice Address - Zip Code:01741-1582
Practice Address - Country:US
Practice Address - Phone:978-369-0283
Practice Address - Fax:978-369-4521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare