Active NPI
Town of Greenfield
- Public Health or Welfare Agency
- Greenfield, MA
National Provider Identifier
1306115753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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 GREENFIELD
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Greenfield
- 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.
-
- Local Education Agency (LEA)
- Greenfield, MA
- NPI 1124144571
-
- Emergency Care Clinic/Center
- Greenfield, MA
- NPI 1801298179
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.