Provider Demographics
NPI:1699823393
Name:CITY OF FRAMINGHAM
Entity Type:Organization
Organization Name:CITY OF FRAMINGHAM
Other - Org Name:FRAMINGHAM BOARD OF HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF PUBLIC HEALTH NURSE
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:MAHONEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MS
Authorized Official - Phone:508-532-5472
Mailing Address - Street 1:150 CONCORD ST
Mailing Address - Street 2:RM 221
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702
Mailing Address - Country:US
Mailing Address - Phone:508-532-5470
Mailing Address - Fax:508-620-4833
Practice Address - Street 1:150 CONCORD ST
Practice Address - Street 2:RM 221
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702
Practice Address - Country:US
Practice Address - Phone:508-532-5470
Practice Address - Fax:508-620-4833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY11036Medicare ID - Type Unspecified