Provider Demographics
NPI:1376023812
Name:TOWN OF WENHAM
Entity Type:Organization
Organization Name:TOWN OF WENHAM
Other - Org Name:BOARD OF HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:CHAIRMAN, BOARD OF SELECTMEN
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-468-5520
Mailing Address - Street 1:138 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WENHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01984-1555
Mailing Address - Country:US
Mailing Address - Phone:978-468-5520
Mailing Address - Fax:978-468-8014
Practice Address - Street 1:138 MAIN ST
Practice Address - Street 2:
Practice Address - City:WENHAM
Practice Address - State:MA
Practice Address - Zip Code:01984-1555
Practice Address - Country:US
Practice Address - Phone:978-468-5520
Practice Address - Fax:978-468-8014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local