Provider Demographics
NPI:1972837151
Name:TOWN OF HOPEDALE
Entity Type:Organization
Organization Name:TOWN OF HOPEDALE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH AGENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:IZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-634-2203
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:HOPEDALE
Mailing Address - State:MA
Mailing Address - Zip Code:01747-0007
Mailing Address - Country:US
Mailing Address - Phone:508-634-2203
Mailing Address - Fax:508-634-2203
Practice Address - Street 1:78 HOPEDALE ST
Practice Address - Street 2:
Practice Address - City:HOPEDALE
Practice Address - State:MA
Practice Address - Zip Code:01747-1742
Practice Address - Country:US
Practice Address - Phone:508-634-2203
Practice Address - Fax:508-634-2203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare