Provider Demographics
NPI:1548869951
Name:CITY OF FALL RIVER MASS
Entity type:Organization
Organization Name:CITY OF FALL RIVER MASS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEPUTY CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BETHANN
Authorized Official - Middle Name:
Authorized Official - Last Name:FAUNCE
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:508-324-2744
Mailing Address - Street 1:PO BOX 3529
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02722-3529
Mailing Address - Country:US
Mailing Address - Phone:508-324-2744
Mailing Address - Fax:508-324-2738
Practice Address - Street 1:1 GOVERNMENT CTR STE 414
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02722-7700
Practice Address - Country:US
Practice Address - Phone:508-324-2744
Practice Address - Fax:508-324-2738
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF FALL RIVER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-19
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local