Provider Demographics
NPI:1669667002
Name:TOWN OF TOPSFIELD
Entity Type:Organization
Organization Name:TOWN OF TOPSFIELD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD OF HEALTH AGENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:COULON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-887-1520
Mailing Address - Street 1:8 W COMMON ST
Mailing Address - Street 2:
Mailing Address - City:TOPSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01983-1425
Mailing Address - Country:US
Mailing Address - Phone:978-887-1520
Mailing Address - Fax:978-887-1521
Practice Address - Street 1:9 E COMMON ST
Practice Address - Street 2:
Practice Address - City:TOPSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01983-1426
Practice Address - Country:US
Practice Address - Phone:978-887-1520
Practice Address - Fax:978-887-1521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY11058Medicare PIN