Organization Active NPI

Town of Greenfield

  • Public Health or Welfare Agency
  • Greenfield, MA
National Provider Identifier
1306115753
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
TOWN OF GREENFIELD
Doing business as
Greenfield Health Department
Practice address
14 Court SQ
Greenfield, MA 01301-3547
Phone
(413) 772-1404
Fax
(413) 772-2238
NPI assigned
Dec 14, 2011
Organization subpart
Yes
Parent organization
TOWN OF GREENFIELDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Megan Tudryn, RN
Title
PHN
Phone
(413) 824-5855

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X RN237763 MA
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

14 Court SQ
Greenfield, MA 01301-3547

Mailing address

14 Court SQ
Greenfield, MA 01301-3547
Phone (413) 772-1404

Other names 1

  • Greenfield Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240918001138 MA Part B Supplier - Mass Immunization (Roster Biller Only) 0840513412 Practice locations: Greenfield, 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 Greenfield3 organizations share this tax ID, including this one
Part of
Town of Greenfield

Other organizations with this tax ID 2

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

Locations

20 Sanderson St
Greenfield, MA 01301
Phone (413) 824-5855

412 Main St
Greenfield, MA 01301
Phone (413) 774-4323

14 Court Sq
Greenfield, MA 01301
Phone (413) 772-1404

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1306115753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 COURT SQ",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013547",
            "telephone_number": "413-772-1404",
            "fax_number": "413-772-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 COURT SQ",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013547",
            "telephone_number": "413-772-1404",
            "fax_number": "413-772-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF GREENFIELD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN OF GREENFIELD",
        "enumeration_date": "2011-12-14",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "TUDRYN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "PHN",
        "authorized_official_telephone_number": "413-824-5855",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MA",
            "license": "RN237763",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenfield Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenfield Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.

Verify at the official NPI Registry.