Provider Demographics
NPI:1346576550
Name:TOWN OF CHARLEMONT
Entity Type:Organization
Organization Name:TOWN OF CHARLEMONT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER, BOARD OF SELECTMEN
Authorized Official - Prefix:MR
Authorized Official - First Name:WINSTON
Authorized Official - Middle Name:
Authorized Official - Last Name:HEALY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-339-4335
Mailing Address - Street 1:157 MAIN ST
Mailing Address - Street 2:P O BOX 677
Mailing Address - City:CHARLEMONT
Mailing Address - State:MA
Mailing Address - Zip Code:01339-9703
Mailing Address - Country:US
Mailing Address - Phone:413-339-4335
Mailing Address - Fax:
Practice Address - Street 1:157 MAIN ST
Practice Address - Street 2:
Practice Address - City:CHARLEMONT
Practice Address - State:MA
Practice Address - Zip Code:01339-9703
Practice Address - Country:US
Practice Address - Phone:413-339-4335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-22
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare