1750020079 NPI number — CITY OF FALL RIVER MASS

Table of content: MR. BRYAN LEE LOVY RPH (NPI 1063596385)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750020079 NPI number — CITY OF FALL RIVER MASS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF FALL RIVER MASS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750020079
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/08/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 GOVERNMENT CENTER
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FALL RIVER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02722-7700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-324-2421
Provider Business Mailing Address Fax Number:
508-324-2544

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 GOVERNMENT CTR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FALL RIVER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02722-7700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-324-2421
Provider Business Practice Location Address Fax Number:
508-324-2544
Provider Enumeration Date:
06/03/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CURRAN
Authorized Official First Name:
TESS
Authorized Official Middle Name:
GALLAGHER
Authorized Official Title or Position:
DIRECTOR OF HEALTH & HUMAN SERVICES
Authorized Official Telephone Number:
774-627-5667

Provider Taxonomy Codes

  • Taxonomy code: 261QP0905X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)