Provider Demographics
NPI:1235571464
Name:MARION ROCHESTER REGIONAL BOARD OF HEALTH
Entity Type:Organization
Organization Name:MARION ROCHESTER REGIONAL BOARD OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:S
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RNC, PNP
Authorized Official - Phone:508-748-3530
Mailing Address - Street 1:2 SPRING ST
Mailing Address - Street 2:P.O. BOX 81
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:
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:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local