TOWN OF SOUTHBOROUGH NPI 1376676130

NPI Information

NPI: 1376676130
Provider Name: TOWN OF SOUTHBOROUGH

Other Name: SOUTHBOROUGH BOARD OF HEALTH

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

Address:
17 COMMON ST
SOUTHBOROUGH, MA
ZIP 01772
Phone: (508) 481-3013
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TOWN OF SOUTHBOROUGH is a public health or welfare in Southborough, MA. TOWN OF SOUTHBOROUGH NPI is 1376676130. The provider is registered as an organization entity type.
The provider Other Name Is Southborough Board Of Health.

The provider's business location address is:

17 COMMON ST
SOUTHBOROUGH, MA
ZIP 01772-663
Phone: (508) 481-3013
Fax: (508) 480-0161

The provider's authorized official is Brian Paul Ballantine .
The authorized official title is Finance Director and has the following contact phone number (508) 485-0710.

The CLIA number assigned to this NPI record is 22D2253826 - other - board of health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare			MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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