Organization Active NPI

Albert M Williams

  • Non-emergency Medical Transport (VAN)
  • Fairhaven, MA
National Provider Identifier
1356469191
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
1714813 Issued in MA
Legal business name
ALBERT M WILLIAMS
Practice address
1 Deerfield LN
Fairhaven, MA 02719-5004
Phone
(508) 990-0017
Fax
(508) 997-3006
NPI assigned
Mar 27, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Albert M Williams III
Title
President
Phone
(508) 990-0017

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 1714813 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

1 Deerfield LN
Fairhaven, MA 02719-5004

Mailing address

1 Deerfield LN
Fairhaven, MA 02719-5004
Phone (508) 990-0017

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1714813MedicaidMA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2008.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1356469191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DEERFIELD LN",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195004",
            "telephone_number": "508-990-0017",
            "fax_number": "508-997-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEERFIELD LN",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195004",
            "telephone_number": "508-990-0017",
            "fax_number": "508-997-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT M WILLIAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-990-0017",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MA",
            "license": "1714813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1714813",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhaven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.