Provider Demographics
NPI:1689420432
Name:QUABBIN HEALTH DISTRICT
Entity type:Organization
Organization Name:QUABBIN HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUBLIC HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRETE
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, RS
Authorized Official - Phone:413-967-9615
Mailing Address - Street 1:126 MAIN ST STE D
Mailing Address - Street 2:
Mailing Address - City:WARE
Mailing Address - State:MA
Mailing Address - Zip Code:01082-1336
Mailing Address - Country:US
Mailing Address - Phone:413-967-9615
Mailing Address - Fax:
Practice Address - Street 1:126 MAIN ST STE D
Practice Address - Street 2:
Practice Address - City:WARE
Practice Address - State:MA
Practice Address - Zip Code:01082-1336
Practice Address - Country:US
Practice Address - Phone:413-967-9615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare