NPIMap

Organization Active NPI

Healthquarters, Inc

  • Ambulatory Family Planning Facility
  • Beverly, MA
National Provider Identifier
1154459618
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
Legal business name
HEALTHQUARTERS, INC
Practice address
100 Cummings Ctr Ste 110E
Beverly, MA 01915-6105
Phone
(978) 927-9824
Fax
(978) 998-4195
NPI assigned
Feb 28, 2007
Last updated
Aug 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Authorized official

Name
Gabrielle Catherine Ross
Title
Executive Director
Phone
(978) 522-5610

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X Primary
Women's Health Nurse Practitioner 363LW0102X

Addresses

Primary practice location

100 Cummings Ctr Ste 110E
Beverly, MA 01915-6105

Mailing address

PO Box 7050
Beverly, MA 01915-0090
Phone (978) 522-5610

Other identifiers 1

IdentifierTypeStateIssuer
110029587AMedicaidMA

Other names 1

  • Health Quarters Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151217001663 MA Part B Supplier - Clinic/Group Practice 7810298775 Receives reassigned benefits from 10 practitioners
Practice locations: Lawrence, MA; Beverly, MA; Haverhill, MA

National Provider Directory

National Provider Directory
Tax ID family
Health Quarters2 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

100 Cummings Ctr
Ste 110E
Beverly, MA 01915
Phone (978) 922-8346

100 Cummings Ctr
Ste 220B
Beverly, MA 01915
Phone (978) 927-9824

900 Cummings Ctr
#131Q
Beverly, MA 01915
Phone (978) 922-4490

215 Summer St
Ste 15
Haverhill, MA 01830
Phone (978) 373-4400

101 Amesbury St
#105106
Lawrence, MA 01840
Phone (978) 681-5258

101 Amesbury St
Ste 105
Lawrence, MA 01840

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7012/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1154459618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7050",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019150090",
            "telephone_number": "978-522-5610",
            "fax_number": "978-922-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 110E",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156105",
            "telephone_number": "978-927-9824",
            "fax_number": "978-998-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHQUARTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-522-5610"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110029587A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Quarters",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Health Quarters",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.