Organization Active NPI

First Response Clinical Services, LLC

  • Medical Specialty Clinic/Center
  • Waltham, MA
National Provider Identifier
1033409057
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
RN230945 Issued in MA
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

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Mrs. Marybeth Ann Mills, REGISTERED NURSENPI 1114217171
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.