Organization Active NPI

Fitchburg Comprehensive Treatment Center Opioid Use Disorder Program

  • Methadone Clinic
  • Fitchburg, MA
National Provider Identifier
1184492555
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
FITCHBURG COMPREHENSIVE TREATMENT CENTER OPIOID USE DISORDER PROGRAM
Practice address
155 Airport Rd
Fitchburg, MA 01420-8142
Phone
(978) 343-6300
NPI assigned
Dec 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Monique Hunter, LPN
Title
Dispensing Nurse Non-Exempt L C
Phone
(508) 333-9322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

155 Airport Rd
Fitchburg, MA 01420-8142

Mailing address

155 Airport Rd
Fitchburg, MA 01420-8142

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1184492555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 AIRPORT RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014208142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 AIRPORT RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014208142",
            "telephone_number": "978-343-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITCHBURG COMPREHENSIVE TREATMENT CENTER OPIOID USE DISORDER PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "DISPENSING NURSE NON-EXEMPT L C",
        "authorized_official_telephone_number": "508-333-9322",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.