Provider Demographics
NPI:1558652834
Name:CITY OF MELROSE
Entity Type:Organization
Organization Name:CITY OF MELROSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/AUDITOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:DELLO RUSSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-979-4110
Mailing Address - Street 1:562 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-3142
Mailing Address - Country:US
Mailing Address - Phone:781-979-4110
Mailing Address - Fax:
Practice Address - Street 1:562 MAIN ST
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-3142
Practice Address - Country:US
Practice Address - Phone:781-979-4110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA35003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport