NPIMap

Organization Active NPI

City of Gardner

  • Public Health or Welfare Agency
  • Gardner, MA
National Provider Identifier
1417216573
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
10541 Issued in MA
Legal business name
CITY OF GARDNER
Practice address
95 Pleasant St
Gardner, MA 01440-2630
Phone
(978) 630-4013
Fax
(978) 632-4682
NPI assigned
May 10, 2012
Last updated
May 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Mr. Bernard Sullivan
Title
Director of Public Health
Phone
(978) 630-4013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 10541 MA Primary

Addresses

Primary practice location

95 Pleasant St
Gardner, MA 01440-2630

Mailing address

95 Pleasant St
Gardner, MA 01440-2630
Phone (978) 630-4013

Other names 1

  • Board of Health Other name

National Provider Directory

National Provider Directory
Tax ID family
City of Gardner3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

95 Pleasant St
Gardner, MA 01440
Phone (978) 630-4013

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1417216573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 PLEASANT ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402630",
            "telephone_number": "978-630-4013",
            "fax_number": "978-632-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 PLEASANT ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402630",
            "telephone_number": "978-630-4013",
            "fax_number": "978-632-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GARDNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
        "authorized_official_telephone_number": "978-630-4013",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MA",
            "license": "10541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Board of Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.