Provider Demographics
NPI:1730251000
Name:TOWN OF DARTMOUTH
Entity type:Organization
Organization Name:TOWN OF DARTMOUTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUBLIC HEALTH
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:W
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:508-910-1804
Mailing Address - Street 1:400 SLOCUM RD
Mailing Address - Street 2:ROOM 119
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-3234
Mailing Address - Country:US
Mailing Address - Phone:508-910-1804
Mailing Address - Fax:508-910-1893
Practice Address - Street 1:400 SLOCUM RD
Practice Address - Street 2:ROOM 119
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-3234
Practice Address - Country:US
Practice Address - Phone:508-910-1804
Practice Address - Fax:508-910-1893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare