Active NPI
First Response Clinical Services, LLC
- Medical Specialty Clinic/Center
- Waltham, MA
National Provider Identifier
1033409057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- RN230945
- Legal business name
- FIRST RESPONSE CLINICAL SERVICES, LLC
- Practice address
- 20 Hope Ave
Suite 204
Waltham, MA 02453-2721 - Phone
- (866) 604-0911
- Fax
- (508) 435-0977
- NPI assigned
- Apr 11, 2011
- 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
- Mrs. Marybeth Ann Mills, REGISTERED NURSE
- Title
- Owner
- Phone
- (508) 259-1209
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | RN230945 | MA | Primary |
Addresses
Primary practice location
20 Hope Ave
Suite 204
Waltham, MA 02453-2721
Mailing address
364 Wood St
Hopkinton, MA 01748-1026
Phone (508) 259-1209
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Specialist/Technologist Cardiovascular
- Waltham, MA
- NPI 1114217171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302480000000",
"number": "1033409057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 WOOD ST",
"city": "HOPKINTON",
"state": "MA",
"postal_code": "017481026",
"telephone_number": "508-259-1209",
"fax_number": "508-435-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 HOPE AVE",
"address_2": "SUITE 204",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024532721",
"telephone_number": "866-604-0911",
"fax_number": "508-435-0977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST RESPONSE CLINICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-11",
"last_updated": "2011-04-11",
"status": "A",
"authorized_official_last_name": "MILLS",
"authorized_official_first_name": "MARYBETH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-259-1209",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "MA",
"license": "RN230945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.