Provider Demographics
NPI:1558514356
Name:CITY OF CHELSEA
Entity Type:Organization
Organization Name:CITY OF CHELSEA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:617-466-4082
Mailing Address - Street 1:500 BROADWAY
Mailing Address - Street 2:CITY HALL, HEALTH DEPARTMENT
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-2948
Mailing Address - Country:US
Mailing Address - Phone:617-466-4082
Mailing Address - Fax:617-466-4089
Practice Address - Street 1:500 BROADWAY
Practice Address - Street 2:CITY HALL, HEALTH DEPARTMENT
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-2948
Practice Address - Country:US
Practice Address - Phone:617-466-4082
Practice Address - Fax:617-466-4089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare