Active NPI
Albert M Williams
- Non-emergency Medical Transport (VAN)
- Fairhaven, MA
National Provider Identifier
1356469191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 1714813
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 1714813 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1714813 | Medicaid | MA |
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.