NPIMap

Organization Active NPI

Minute Man Arc Early Intervention Program

  • Early Intervention Provider Agency
  • Concord, MA
National Provider Identifier
1003090408
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
SP 6513-SL Issued in MA
Legal business name
MINUTE MAN ARC EARLY INTERVENTION PROGRAM
Practice address
1269 Main St
Concord, MA 01742-3099
Phone
(978) 287-7800
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Alex Chatfield
Title
Director
Phone
(978) 287-7951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X SP 6513-SL MA Primary

Addresses

Primary practice location

1269 Main St
Concord, MA 01742-3099

Mailing address

1269 Main St
Concord, MA 01742-3099

National Provider Directory

National Provider Directory
Tax ID family
Minute Man Arc for Human Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1003090408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 MAIN ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 MAIN ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423099",
            "telephone_number": "978-287-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINUTE MAN ARC EARLY INTERVENTION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "CHATFIELD",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "978-287-7951"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MA",
            "license": "SP 6513-SL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.