Provider Demographics
NPI:1598803975
Name:NORTH ATTLEBORO BOARD OF HEALTH
Entity Type:Organization
Organization Name:NORTH ATTLEBORO BOARD OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNEMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:508-699-0104
Mailing Address - Street 1:43 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-1642
Mailing Address - Country:US
Mailing Address - Phone:508-699-0104
Mailing Address - Fax:508-699-0135
Practice Address - Street 1:43 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NORTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02760-1642
Practice Address - Country:US
Practice Address - Phone:508-699-0104
Practice Address - Fax:508-699-0135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3199801Medicaid