Provider Demographics
NPI:1295920924
Name:CITY OF PITTSFIELD HEALTH DEPT
Entity type:Organization
Organization Name:CITY OF PITTSFIELD HEALTH DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD OF HEALTH CHAIRPERSON
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-443-7799
Mailing Address - Street 1:70 ALLEN ST
Mailing Address - Street 2:HEALTH DEPARTMENT
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201
Mailing Address - Country:US
Mailing Address - Phone:419-499-9465
Mailing Address - Fax:413-448-9798
Practice Address - Street 1:70 ALLEN ST
Practice Address - Street 2:HEALTH DEPARTMENT
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201
Practice Address - Country:US
Practice Address - Phone:419-499-9465
Practice Address - Fax:413-448-9798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MACIY11016Medicare PIN