Provider Demographics
NPI:1346850146
Name:TOWN OF FOXBOROUGH
Entity Type:Organization
Organization Name:TOWN OF FOXBOROUGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY CHIEF/PUBLIC HEALTH NURSE
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KENVIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:508-543-1230
Mailing Address - Street 1:8 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:FOXBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:02035-1402
Mailing Address - Country:US
Mailing Address - Phone:085-543-1230
Mailing Address - Fax:508-543-1233
Practice Address - Street 1:8 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:FOXBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:02035-1402
Practice Address - Country:US
Practice Address - Phone:508-543-1230
Practice Address - Fax:508-543-1233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare