Provider Demographics
NPI:1225048895
Name:TOWN OF DRACUT, BOARD OF HEALTH
Entity Type:Organization
Organization Name:TOWN OF DRACUT, BOARD OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:THEMELES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-453-8162
Mailing Address - Street 1:11 SPRING PARK AVE
Mailing Address - Street 2:TOWN HALL ANNEX
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-3829
Mailing Address - Country:US
Mailing Address - Phone:978-453-8162
Mailing Address - Fax:978-453-9320
Practice Address - Street 1:11 SPRING PARK AVE
Practice Address - Street 2:TOWN HALL ANNEX
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-3829
Practice Address - Country:US
Practice Address - Phone:978-453-8162
Practice Address - Fax:978-453-9320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare