Provider Demographics
NPI:1801018999
Name:CITY OF FALL RIVER MASS
Entity Type:Organization
Organization Name:CITY OF FALL RIVER MASS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:COUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-324-2421
Mailing Address - Street 1:1 GOVERNMENT CTR
Mailing Address - Street 2:ROOM 431
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02722-7700
Mailing Address - Country:US
Mailing Address - Phone:508-324-2421
Mailing Address - Fax:508-324-2544
Practice Address - Street 1:1 GOVERNMENT CTR
Practice Address - Street 2:ROOM 431
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02722-7700
Practice Address - Country:US
Practice Address - Phone:508-324-2422
Practice Address - Fax:508-324-2544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site