Provider Demographics
NPI:1629266929
Name:TOWN OF HUBBARDSTON
Entity Type:Organization
Organization Name:TOWN OF HUBBARDSTON
Other - Org Name:BOARD OF HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:CHAIRMAN BOARD OF HEALTH
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:KNIPE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:978-928-1404
Mailing Address - Street 1:PO BOX 415
Mailing Address - Street 2:7A MAIN STREET
Mailing Address - City:HUBBARDSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01452-0415
Mailing Address - Country:US
Mailing Address - Phone:978-928-1404
Mailing Address - Fax:978-928-3392
Practice Address - Street 1:7 MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:HUBBARDSTON
Practice Address - State:MA
Practice Address - Zip Code:01452
Practice Address - Country:US
Practice Address - Phone:978-928-1404
Practice Address - Fax:978-928-3392
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF HUBBARDSTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-11
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251KOOOOOX251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare