Provider Demographics
NPI:1275754467
Name:CITY OF EVERETT
Entity Type:Organization
Organization Name:CITY OF EVERETT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:O'NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-394-2256
Mailing Address - Street 1:484 BROADWAY
Mailing Address - Street 2:ROOM 20
Mailing Address - City:EVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:02149-3694
Mailing Address - Country:US
Mailing Address - Phone:617-394-2255
Mailing Address - Fax:617-387-2139
Practice Address - Street 1:484 BROADWAY
Practice Address - Street 2:ROOM 20
Practice Address - City:EVERETT
Practice Address - State:MA
Practice Address - Zip Code:02149-3694
Practice Address - Country:US
Practice Address - Phone:617-394-2255
Practice Address - Fax:617-387-2139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare