NPIMap

Organization Active NPI

Town of Lee

Doing business as Tri-Town Health Department

  • State or Local Public Health Clinic/Center
  • Lee, MA
National Provider Identifier
1518614742
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
TOWN OF LEE
Doing business as
Tri-Town Health Department
Practice address
45 Railroad St
Lee, MA 01238-1639
Phone
(413) 243-5540
Fax
(413) 243-5540
NPI assigned
Mar 8, 2022
Last updated
Jun 9, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
TOWN OF LEEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
James J Wilusz, R.S.
Title
Executive Director
Phone
(413) 243-5540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

45 Railroad St
Lee, MA 01238-1639

Mailing address

45 Railroad St
Lee, MA 01238-1639
Phone (413) 243-5540

Other names 1

  • Tri-Town Health Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220602001198 MA Part B Supplier - Mass Immunization (Roster Biller Only) 5294982104 Practice locations: Lee, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Town of Lee3 organizations share this tax ID, including this one
Part of
Town of Lee

Other organizations with this tax ID 2

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

Locations

45 Railroad St
Lee, MA 01238
Phone (413) 243-5540

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1518614742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 RAILROAD ST",
            "city": "LEE",
            "state": "MA",
            "postal_code": "012381639",
            "telephone_number": "413-243-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 RAILROAD ST",
            "city": "LEE",
            "state": "MA",
            "postal_code": "012381639",
            "telephone_number": "413-243-5540",
            "fax_number": "413-243-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF LEE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN OF LEE",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "WILUSZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "413-243-5540",
        "authorized_official_credential": "R.S."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Town Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tri-Town Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.