Organization Active NPI

Yarmouth Health Stop, LLC

  • Health Service Clinic/Center
  • South Yarmouth, MA
National Provider Identifier
1326654807
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
YARMOUTH HEALTH STOP, LLC
Practice address
23 Whites Path Ste G
South Yarmouth, MA 02664-1238
Phone
(508) 619-6533
NPI assigned
Sep 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Gail M Marshall, NP-CNPI 1316018633
Title
Manager
Phone
(508) 737-6213

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

23 Whites Path Ste G
South Yarmouth, MA 02664-1238

Mailing address

23 Whites Path Ste G
South Yarmouth, MA 02664-1238
Phone (508) 619-6533

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL EHR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240903002229 MA Part B Supplier - Clinic/Group Practice 3274072301 Receives reassigned benefits from 2 practitioners
Practice locations: South Yarmouth, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2320052Yarmouth Health Stop LLC23G Whites Path, South Yarmouth, MA 02664Certificate of waiverMar 11, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1600473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1326654807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WHITES PATH STE G",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026641238",
            "telephone_number": "508-619-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WHITES PATH STE G",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026641238",
            "telephone_number": "508-619-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YARMOUTH HEALTH STOP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-19",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-737-6213",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "address_1": "23 Whites Path Ste G",
            "city": "South Yarmouth",
            "state": "MA",
            "country_code": "US",
            "postal_code": "026641238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Yarmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.