NPIMap

Organization Active NPI

Town of Manchester by the Sea

Doing business as Board of Health

  • State or Local Public Health Clinic/Center
  • Manchester by the Sea, MA
National Provider Identifier
1063546885
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
TOWN OF MANCHESTER BY THE SEA
Doing business as
Board of Health
Practice address
10 Central St
Town Hall, Second Floor, Room 8
Manchester by the Sea, MA 01944-1399
Phone
(978) 526-7385
Fax
(978) 526-2009
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Mrs. Pamela Jean Crehan, RN
Title
PHN
Phone
(978) 526-7385

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X RN64577 MA
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

10 Central St
Town Hall, Second Floor, Room 8
Manchester by the Sea, MA 01944-1399

Mailing address

10 Central St
Town Hall, Second Floor, Room 8
Manchester by the Sea, MA 01944-1399
Phone (978) 526-7385

Other names 1

  • Board of Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081124000736 MA Part B Supplier - Public Health/Welfare Agency 7618947870 Practice locations: Manchester, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Board of Health2 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

10 Central St
Manchester by the Sea, MA 01944
Phone (978) 526-7385

10 Central St
Fl Second
Manchester by the Sea, MA 01944
Phone (978) 526-7385

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1063546885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CENTRAL ST",
            "address_2": "TOWN HALL, SECOND FLOOR, ROOM 8",
            "city": "MANCHESTER BY THE SEA",
            "state": "MA",
            "postal_code": "019441399",
            "telephone_number": "978-526-7385",
            "fax_number": "978-526-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTRAL ST",
            "address_2": "TOWN HALL, SECOND FLOOR, ROOM 8",
            "city": "MANCHESTER BY THE SEA",
            "state": "MA",
            "postal_code": "019441399",
            "telephone_number": "978-526-7385",
            "fax_number": "978-526-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MANCHESTER BY THE SEA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "CREHAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PHN",
        "authorized_official_telephone_number": "978-526-7385",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "RN64577",
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Board of Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester by the Sea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.