Provider Demographics
NPI:1588066658
Name:SHREWSBURY HEALTH CLUB
Entity type:Organization
Organization Name:SHREWSBURY HEALTH CLUB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AQUATIC/FACILITY MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:JUDE
Authorized Official - Last Name:MONAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-845-1000
Mailing Address - Street 1:80 LOCUST AVE
Mailing Address - Street 2:B-103
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-1160
Mailing Address - Country:US
Mailing Address - Phone:508-335-1268
Mailing Address - Fax:
Practice Address - Street 1:80 LOCUST AVE
Practice Address - Street 2:B-103
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-1160
Practice Address - Country:US
Practice Address - Phone:508-335-1268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-20
Last Update Date:2014-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation