Provider Demographics
NPI:1235330622
Name:TOWN OF ARLINGTON
Entity Type:Organization
Organization Name:TOWN OF ARLINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TOWN MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-316-3000
Mailing Address - Street 1:27 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-4976
Mailing Address - Country:US
Mailing Address - Phone:781-316-3170
Mailing Address - Fax:781-316-3175
Practice Address - Street 1:27 MAPLE ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-4976
Practice Address - Country:US
Practice Address - Phone:781-316-3170
Practice Address - Fax:781-316-3175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11828251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY11119Medicare ID - Type UnspecifiedLOCAL HEALTH DEPARTMENT