Active NPI
Town of Wareham
- Health Maintenance Organization
- Wareham, MA
National Provider Identifier
1407979271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- TOWN OF WAREHAM
- Practice address
- 54 Marion Rd
Board of Health
Wareham, MA 02571-1428 - Phone
- (508) 291-3100
- Fax
- (508) 291-3175
- NPI assigned
- Apr 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert M. Ethier
- Title
- Health Agent
- Phone
- (508) 291-3100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | MA | Primary |
Addresses
Primary practice location
54 Marion Rd
Board of Health
Wareham, MA 02571-1428
Mailing address
54 Marion Rd
Board of Health
Wareham, MA 02571-1428
Phone (508) 291-3100
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1407979271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 MARION RD",
"address_2": "BOARD OF HEALTH",
"city": "WAREHAM",
"state": "MA",
"postal_code": "025711428",
"telephone_number": "508-291-3100",
"fax_number": "508-291-3175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 MARION RD",
"address_2": "BOARD OF HEALTH",
"city": "WAREHAM",
"state": "MA",
"postal_code": "025711428",
"telephone_number": "508-291-3100",
"fax_number": "508-291-3175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF WAREHAM",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-09",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ETHIER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "HEALTH AGENT",
"authorized_official_telephone_number": "508-291-3100"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wareham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.