Provider Demographics
NPI:1619161098
Name:TOWN OF ROCHESTER/BOARD OF HEALTH
Entity Type:Organization
Organization Name:TOWN OF ROCHESTER/BOARD OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN, BOARD OF HEALTH
Authorized Official - Prefix:MR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:S
Authorized Official - Last Name:BARROWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-763-5421
Mailing Address - Street 1:37 MARION RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02770-4113
Mailing Address - Country:US
Mailing Address - Phone:508-763-5421
Mailing Address - Fax:508-763-5379
Practice Address - Street 1:37 MARION RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02770-4113
Practice Address - Country:US
Practice Address - Phone:508-763-5421
Practice Address - Fax:508-763-5379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MATO-Y11144Medicare PIN