Provider Demographics
NPI:1467592782
Name:CITY OF WESTFIELD
Entity Type:Organization
Organization Name:CITY OF WESTFIELD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEALTH
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-572-9125
Mailing Address - Street 1:59 COURT ST
Mailing Address - Street 2:WESTFIELD HEALTH DEPARTMENT
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-3520
Mailing Address - Country:US
Mailing Address - Phone:413-572-6210
Mailing Address - Fax:413-572-6279
Practice Address - Street 1:59 COURT ST
Practice Address - Street 2:WESTFIELD HEALTH DEPARTMENT
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-3520
Practice Address - Country:US
Practice Address - Phone:413-572-6210
Practice Address - Fax:413-572-6279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY1112701Medicare PIN