NPIMap

Organization Active NPI

Team Coordinating Agency

  • Clinic/Center
  • Haverhill, MA
National Provider Identifier
1275795551
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
111893 Issued in MA
Legal business name
TEAM COORDINATING AGENCY
Practice address
76 Winter St
Haverhill, MA 01830-5760
Phone
(978) 374-7605
NPI assigned
Jun 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Susan Grady
Title
Ambulatory Services Division Direct
Phone
(978) 373-1181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 111893 MA Primary

Addresses

Primary practice location

76 Winter St
Haverhill, MA 01830-5760

Mailing address

76 Winter St
Haverhill, MA 01830-5760

National Provider Directory

National Provider Directory
Tax ID family
Team Coordinating Agency4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1275795551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 WINTER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018305760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 WINTER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018305760",
            "telephone_number": "978-374-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM COORDINATING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "AMBULATORY SERVICES DIVISION DIRECT",
        "authorized_official_telephone_number": "978-373-1181"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MA",
            "license": "111893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.