Active NPI
Town of Tewksbury
- Public Health or Welfare Agency
- Tewksbury, MA
National Provider Identifier
1306017264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- TOWN OF TEWKSBURY
- Practice address
- 999 Whipple Rd
Tewksbury, MA 01876-3756 - Phone
- (978) 640-4470
- Fax
- (978) 640-4472
- NPI assigned
- Mar 19, 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
- Mrs. Shannon Gillis, REHS
- Title
- Director of Public Health
- Phone
- (978) 640-4470
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | MA | Primary |
Addresses
Primary practice location
999 Whipple Rd
Tewksbury, MA 01876-3756
Mailing address
999 Whipple Rd
Tewksbury, MA 01876-3756
Phone (978) 640-4470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060119000577 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 2668496464 | Practice locations: Tewksbury, 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 Tewksbury
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Tewksbury, MA
- NPI 1124091673
-
- Local Education Agency (LEA)
- Tewksbury, MA
- NPI 1588785703
Locations
175 Chandler St
Tewksbury, MA 01876
Phone (978) 640-4470
1009 Main St
Tewksbury, MA 01876
Phone (978) 640-4470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739404800000",
"number": "1306017264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 WHIPPLE RD",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018763756",
"telephone_number": "978-640-4470",
"fax_number": "978-640-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 WHIPPLE RD",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018763756",
"telephone_number": "978-640-4470",
"fax_number": "978-640-4472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF TEWKSBURY",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-19",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A",
"authorized_official_last_name": "GILLIS",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
"authorized_official_telephone_number": "978-640-4470",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "REHS"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tewksbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.