Provider Demographics
NPI:1821146309
Name:TOWN OF SCITUATE
Entity Type:Organization
Organization Name:TOWN OF SCITUATE
Other - Org Name:BOARD OF HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:TOWN ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:AGNEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-545-8742
Mailing Address - Street 1:600 CHIEF JUSTICE CUSHING HWY
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-3226
Mailing Address - Country:US
Mailing Address - Phone:781-545-8706
Mailing Address - Fax:781-545-8706
Practice Address - Street 1:600 CHIEF JUSTICE CUSHING HWY
Practice Address - Street 2:
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-3226
Practice Address - Country:US
Practice Address - Phone:781-545-8706
Practice Address - Fax:781-545-8706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
Y10805Medicare ID - Type Unspecified