Active NPI
Town of Hanover
- Public Health or Welfare Agency
- Hanover, MA
National Provider Identifier
1154598001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- TOWN OF HANOVER
- Practice address
- 550 Hanover Street
Suite 17 Board of Health
Hanover, MA 02339-2242 - Phone
- (781) 826-4611
- Fax
- (781) 826-5289
- NPI assigned
- May 9, 2008
- 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. George L Martin Jr.
- Title
- Director of Municipal Finance
- Phone
- (781) 826-5498
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
550 Hanover Street
Suite 17 Board of Health
Hanover, MA 02339-2242
Mailing address
550 Hanover Street
Suite 17 Board of Health
Hanover, MA 02339-2242
Phone (781) 826-4611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041124000660 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 9436114824 | Practice locations: Hanover, 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
- Town of Hanover
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
550 Hanover St
Hanover, MA 02339
Phone (781) 826-4611
550 Hanover St
Ste 17
Hanover, MA 02339
Phone (781) 826-4611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210291200000",
"number": "1154598001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 HANOVER STREET",
"address_2": "SUITE 17 BOARD OF HEALTH",
"city": "HANOVER",
"state": "MA",
"postal_code": "023392242",
"telephone_number": "781-826-4611",
"fax_number": "781-826-5289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 HANOVER STREET",
"address_2": "SUITE 17 BOARD OF HEALTH",
"city": "HANOVER",
"state": "MA",
"postal_code": "023392242",
"telephone_number": "781-826-4611",
"fax_number": "781-826-5289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF HANOVER",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-09",
"last_updated": "2008-05-09",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR OF MUNICIPAL FINANCE",
"authorized_official_telephone_number": "781-826-5498",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.