Provider Demographics
NPI:1992956940
Name:TOWN OF HOPKINTON
Entity type:Organization
Organization Name:TOWN OF HOPKINTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH DEPARTMENT DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAUN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MCAULIFFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-497-9725
Mailing Address - Street 1:18 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOPKINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01748-3209
Mailing Address - Country:US
Mailing Address - Phone:508-497-9725
Mailing Address - Fax:508-497-9702
Practice Address - Street 1:18 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOPKINTON
Practice Address - State:MA
Practice Address - Zip Code:01748-3209
Practice Address - Country:US
Practice Address - Phone:508-497-9725
Practice Address - Fax:508-497-9702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No251K00000XAgenciesPublic Health or WelfareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MATO Y11112Medicare PIN