Source Equipment Company

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

SOURCE EQUIPMENT COMPANY

Practice address

364 Prospect St
Leominster, MA 01453-3417

Phone

(978) 537-3498

NPI assigned

Oct 8, 2021

Organization subpart

No

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

Authorized official

Name

Mr. William Fellows

Title

President

Phone

(978) 537-3498

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1659033470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 PROSPECT ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533417",
            "telephone_number": "978-537-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 PROSPECT ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533417",
            "telephone_number": "978-537-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE EQUIPMENT COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "FELLOWS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-537-3498",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in Leominster, MA
• Providers in Leominster, MA by specialty
• Home Modifications Contractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.