Organization Active NPI

City of Melrose

  • Public Health or Welfare Agency
  • Melrose, MA
National Provider Identifier
1528257151
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CITY OF MELROSE
Practice address
562 Main St
Melrose, MA 02176-3142
Phone
(781) 979-4130
Fax
(781) 979-7696
NPI assigned
Oct 19, 2007
Last updated
Oct 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Ruth L Clay, MPH
Title
Health Director
Phone
(781) 979-4130

Specialties & licenses 1

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

Addresses

Primary practice location

562 Main St
Melrose, MA 02176-3142

Mailing address

562 Main St
Melrose, MA 02176-3142
Phone (781) 979-4130

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031212000248 MA Part B Supplier - Mass Immunization (Roster Biller Only) 1557267192 Practice locations: Melrose, 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
City of Melrose3 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.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1528257151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763142",
            "telephone_number": "781-979-4130",
            "fax_number": "781-979-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763142",
            "telephone_number": "781-979-4130",
            "fax_number": "781-979-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MELROSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "781-979-4130",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.