Active NPI
Town of Swampscott
- Public Health or Welfare Agency
- Swampscott, MA
National Provider Identifier
1003034422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y10385 | Medicaid | MA |
Other names 1
- Swampscott Health Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Department
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Swampscott, MA
- NPI 1245361062
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.