Provider Demographics
NPI:1366679367
Name:TOWN OF IPSWICH
Entity type:Organization
Organization Name:TOWN OF IPSWICH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-356-6606
Mailing Address - Street 1:25 GREEN ST
Mailing Address - Street 2:HEALTH OFFICE
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-2229
Mailing Address - Country:US
Mailing Address - Phone:978-356-6606
Mailing Address - Fax:978-356-6680
Practice Address - Street 1:25 GREEN ST
Practice Address - Street 2:HEALTH OFFICE
Practice Address - City:IPSWICH
Practice Address - State:MA
Practice Address - Zip Code:01938-2229
Practice Address - Country:US
Practice Address - Phone:978-356-6606
Practice Address - Fax:978-356-6680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare