Provider Demographics
NPI:1285075382
Name:MIDDLESEX HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:MIDDLESEX HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DUNCAN
Authorized Official - Middle Name:
Authorized Official - Last Name:IRURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-655-4749
Mailing Address - Street 1:360 MERRIMACK ST. BUILDING 5 2ND FLOOR
Mailing Address - Street 2:SUITE 25
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-1740
Mailing Address - Country:US
Mailing Address - Phone:978-655-4749
Mailing Address - Fax:
Practice Address - Street 1:360 MERRIMACK ST. BUILDING 5 2ND FLOOR
Practice Address - Street 2:SUITE 25
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-1740
Practice Address - Country:US
Practice Address - Phone:978-655-4749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-17
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health