Active NPI
CC Resource Group
- Non-emergency Medical Transport (VAN)
- Woburn, MA
National Provider Identifier
1063749901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- CC RESOURCE GROUP
- Practice address
- 400 W Cummings Park Ste 1725
Woburn, MA 01801-6579 - Phone
- (617) 797-4904
- Fax
- (888) 848-4075
- NPI assigned
- Nov 13, 2009
- Last updated
- Nov 13, 2009
- 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
- Mr. Charles T Mwangi
- Title
- Ceo
- Phone
- (888) 787-2895
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | MA | Primary | |
| Private Vehicle | 347C00000X | MA |
Addresses
Primary practice location
400 W Cummings Park Ste 1725
Woburn, MA 01801-6579
Mailing address
400 W Cummings Park Ste 1725
Woburn, MA 01801-6579
Phone (617) 797-4904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VC0000441732 | Other | MA | STATE OF MASSACHUSETTS VENDOR CODE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258070400000",
"number": "1063749901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W CUMMINGS PARK STE 1725",
"city": "WOBURN",
"state": "MA",
"postal_code": "018016579",
"telephone_number": "617-797-4904",
"fax_number": "888-848-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W CUMMINGS PARK STE 1725",
"city": "WOBURN",
"state": "MA",
"postal_code": "018016579",
"telephone_number": "617-797-4904",
"fax_number": "888-848-4075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CC RESOURCE GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-13",
"last_updated": "2009-11-13",
"status": "A",
"authorized_official_last_name": "MWANGI",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "888-787-2895",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "MA",
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "MA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MASSACHUSETTS VENDOR CODE",
"identifier": "VC0000441732",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.