Organization Active NPI

Webster''S Coach, LLC

  • Non-emergency Medical Transport (VAN)
  • Fitchburg, MA
National Provider Identifier
1245743483
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
WEBSTER''S COACH, LLC
Practice address
33 Electric Ave
Fitchburg, MA 01420-7954
Phone
(978) 627-3929
NPI assigned
Nov 9, 2017
Organization subpart
Yes
Parent organization
NEW DAWN INTEGRATED BEHAVIORAL HEALTH CENTER INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mr. Bruce Edward Wells II, MHANPI 1619742137
Title
Vice President
Phone
(774) 200-1786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X MA Primary

Addresses

Primary practice location

33 Electric Ave
Fitchburg, MA 01420-7954

Mailing address

33 Electric Ave Ste B03
Fitchburg, MA 01420-7954
Phone (978) 627-3929

Other identifiers 1

IdentifierTypeStateIssuer
1477517407MedicaidMA

Other names 4

  • Bruce E. Wells I Doing business as
  • Bruce E. Wells II Doing business as
  • Sheila R. Wells Doing business as
  • Tiffany U. Wells Doing business as

National Provider Directory

National Provider Directory
Part of
New Dawn Integrated Behavioral Health Center Inc

Locations

33 Electric Ave
Ste B03
Fitchburg, MA 01420
Phone (978) 345-2400

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1245743483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ELECTRIC AVE STE B03",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207954",
            "telephone_number": "978-627-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ELECTRIC AVE",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207954",
            "telephone_number": "978-627-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER''S COACH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW DAWN INTEGRATED BEHAVIORAL HEALTH CENTER INC.",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "774-200-1786",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477517407",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruce E. Wells I",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bruce E. Wells II",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sheila R. Wells",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tiffany U. Wells",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 16, 2018; 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.