Provider Demographics
NPI:1922040211
Name:TOWN OF WEST SPRINGFIELD
Entity Type:Organization
Organization Name:TOWN OF WEST SPRINGFIELD
Other - Org Name:WEST SPRINGFIELD HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PUBLIC HEALTH NURSE, ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN MA 119085 CURRENT
Authorized Official - Phone:413-263-3207
Mailing Address - Street 1:26 CENTRAL ST
Mailing Address - Street 2:SUITE 18
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-2754
Mailing Address - Country:US
Mailing Address - Phone:413-263-3206
Mailing Address - Fax:413-737-1583
Practice Address - Street 1:26 CENTRAL ST
Practice Address - Street 2:SUITE 18
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-2753
Practice Address - Country:US
Practice Address - Phone:413-263-3206
Practice Address - Fax:413-737-1583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY11065Medicare PIN