Provider Demographics
NPI:1659961563
Name:CITY OF AMESBURY
Entity Type:Organization
Organization Name:CITY OF AMESBURY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BERKENBUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-388-8185
Mailing Address - Street 1:62 FRIEND ST
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-2825
Mailing Address - Country:US
Mailing Address - Phone:978-388-8185
Mailing Address - Fax:978-388-0184
Practice Address - Street 1:62 FRIEND ST
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-2825
Practice Address - Country:US
Practice Address - Phone:978-388-8185
Practice Address - Fax:978-388-0184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare