Provider Demographics
NPI:1013490077
Name:TOWN OF AGAWAM
Entity Type:Organization
Organization Name:TOWN OF AGAWAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER/COLLECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PLACZEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-726-9712
Mailing Address - Street 1:954 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AGAWAM
Mailing Address - State:MA
Mailing Address - Zip Code:01001-2531
Mailing Address - Country:US
Mailing Address - Phone:413-726-2835
Mailing Address - Fax:413-789-4092
Practice Address - Street 1:954 MAIN ST
Practice Address - Street 2:
Practice Address - City:AGAWAM
Practice Address - State:MA
Practice Address - Zip Code:01001-2531
Practice Address - Country:US
Practice Address - Phone:413-726-2835
Practice Address - Fax:413-789-4092
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF AGAWAM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals