Provider Demographics
NPI:1184985764
Name:FRANKLIN REGIONAL COUNCIL OF GOVERNMENTS
Entity type:Organization
Organization Name:FRANKLIN REGIONAL COUNCIL OF GOVERNMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DUNLAVY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-774-3167
Mailing Address - Street 1:12 OLIVE ST
Mailing Address - Street 2:JOHN W. OLVER TRANSIT CENTER
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301
Mailing Address - Country:US
Mailing Address - Phone:413-774-3167
Mailing Address - Fax:413-774-3169
Practice Address - Street 1:12 OLIVE ST
Practice Address - Street 2:JOHN W. OLVER TRANSIT CENTER
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301
Practice Address - Country:US
Practice Address - Phone:413-774-3167
Practice Address - Fax:413-774-3169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-31
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA14924OtherMASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH VACCINE PROVIDER NUMBER