Provider Demographics
NPI:1316072259
Name:TOWN OF SOMERSET
Entity type:Organization
Organization Name:TOWN OF SOMERSET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOMERSET TOWN NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAMOTHE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:508-646-2807
Mailing Address - Street 1:115 WOOD ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:MA
Mailing Address - Zip Code:02726-5227
Mailing Address - Country:US
Mailing Address - Phone:508-646-2807
Mailing Address - Fax:508-646-2826
Practice Address - Street 1:115 WOOD ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:MA
Practice Address - Zip Code:02726-5227
Practice Address - Country:US
Practice Address - Phone:508-646-2807
Practice Address - Fax:508-646-2826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY10405Medicare ID - Type UnspecifiedBOARD OF HEALTH