Organization Active NPI

CC Resource Group

  • Non-emergency Medical Transport (VAN)
  • Woburn, MA
National Provider Identifier
1063749901
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
VC0000441732OtherMASTATE OF MASSACHUSETTS VENDOR CODE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.