Organization Name: | HILLTOWN COMMUNITY HEALTH CENTERS, INC. |
NPI Number: | 1518946904 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZA B. LAKE (EXECUTIVE DIRECTOR) |
Mailing Address: | 73 Russell Rd Huntington |
State: | MA US |
Postal Code: | 010509777 |
Phone Number: | 4136673009 |
Fax Number: | 4136678746 |
NPI Enumeration Date: | 01/13/2006 |
NPI Last Update Date: | 02/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | 4950 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |