Provider Demographics
NPI:1134887177
Name:TOWN OF NORTHBOROUGH
Entity type:Organization
Organization Name:TOWN OF NORTHBOROUGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF/EMD
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PARENTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-393-1537
Mailing Address - Street 1:63 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532-1943
Mailing Address - Country:US
Mailing Address - Phone:508-393-1537
Mailing Address - Fax:508-393-1539
Practice Address - Street 1:63 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-1943
Practice Address - Country:US
Practice Address - Phone:508-393-1537
Practice Address - Fax:508-393-1539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No251K00000XAgenciesPublic Health or Welfare