Provider Demographics
NPI:1700027158
Name:CHICOPEE HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:CHICOPEE HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL CLERK
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:A
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1413-594-1660
Mailing Address - Street 1:15 COURT ST
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-1885
Mailing Address - Country:US
Mailing Address - Phone:141-359-4166
Mailing Address - Fax:141-359-4167
Practice Address - Street 1:15 COURT ST
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-1885
Practice Address - Country:US
Practice Address - Phone:141-359-4166
Practice Address - Fax:141-359-4167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare