Organization Active NPI

Town of Swampscott

  • Public Health or Welfare Agency
  • Swampscott, MA
National Provider Identifier
1003034422
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
TOWN OF SWAMPSCOTT
Practice address
22 Monument Ave
Swampscott, MA 01907-1977
Phone
(781) 596-8864
Fax
(781) 596-8818
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Roseanne Lanette Morrissey, RN
Title
Public Health Nurse
Phone
(781) 596-8864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

22 Monument Ave
Swampscott, MA 01907-1977

Mailing address

22 Monument Ave
Swampscott, MA 01907-1977
Phone (781) 596-8864

Other identifiers 1

IdentifierTypeStateIssuer
Y10385MedicaidMA

Other names 1

  • Swampscott Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080812000261 MA Part B Supplier - Mass Immunization (Roster Biller Only) 2062586191 Practice locations: Swampscott, MA

National Provider Directory

National Provider Directory
Tax ID family
Swampscott Health Department2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

22 Monument Ave
Swampscott, MA 01907
Phone (781) 596-8864

55 Atlantic Ave
Swampscott, MA 01907
Phone (781) 599-8005

200 Essex St
Swampscott, MA 01907
Phone (781) 596-8868

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1003034422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MONUMENT AVE",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071977",
            "telephone_number": "781-596-8864",
            "fax_number": "781-596-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MONUMENT AVE",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071977",
            "telephone_number": "781-596-8864",
            "fax_number": "781-596-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF SWAMPSCOTT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "MORRISSEY",
        "authorized_official_first_name": "ROSEANNE",
        "authorized_official_middle_name": "LANETTE",
        "authorized_official_title_or_position": "PUBLIC HEALTH NURSE",
        "authorized_official_telephone_number": "781-596-8864",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Y10385",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swampscott Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swampscott, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.