NPIMap

Organization Active NPI

Town of Millis

  • Public Health or Welfare Agency
  • Millis, MA
National Provider Identifier
1669536819
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
153518 Issued in MA
Legal business name
TOWN OF MILLIS
Practice address
900 Main St
Room 213
Millis, MA 02054-1512
Phone
(508) 376-7042
Fax
(508) 376-7058
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Joanne M. Russo
Title
Acting Treasurer
Phone
(508) 376-7091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 153518 MA Primary

Addresses

Primary practice location

900 Main St
Room 213
Millis, MA 02054-1512

Mailing address

900 Main St
Room 213
Millis, MA 02054-1512
Phone (508) 376-7042

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040813000849 MA Part B Supplier - Mass Immunization (Roster Biller Only) 5698748150 Practice locations: Millis, 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 Millis3 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

900 Main St
#213
Millis, MA 02054

900 Main St
Rm 213
Millis, MA 02054
Phone (508) 376-7042

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669536819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "address_2": "ROOM 213",
            "city": "MILLIS",
            "state": "MA",
            "postal_code": "020541512",
            "telephone_number": "508-376-7042",
            "fax_number": "508-376-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "address_2": "ROOM 213",
            "city": "MILLIS",
            "state": "MA",
            "postal_code": "020541512",
            "telephone_number": "508-376-7042",
            "fax_number": "508-376-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MILLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ACTING TREASURER",
        "authorized_official_telephone_number": "508-376-7091",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MA",
            "license": "153518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.