Active NPI
Community Service Agency
- Case Management Agency
- Haverhill, MA
National Provider Identifier
1669776456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- S71963777
- Legal business name
- COMMUNITY SERVICE AGENCY
- Practice address
- 10 Howard St
Haverhill, MA 01830-4006 - Phone
- (978) 606-9770
- NPI assigned
- Jan 7, 2011
- Last updated
- Jan 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kelly Erin Bridges, BA
- Title
- Icc
- Phone
- (978) 606-9770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | S71963777 | MA | Primary |
Addresses
Primary practice location
10 Howard St
Haverhill, MA 01830-4006
Mailing address
10 Howard St
Haverhill, MA 01830-4006
Phone (978) 606-9770
Other names 1
- Health and Education Services
National Provider Directory
National Provider Directory- Tax ID family
- Health and Education Services Inc
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Locations
10 Howard St
Haverhill, MA 01830
Phone (978) 374-0414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294358400000",
"number": "1669776456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 HOWARD ST",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018304006",
"telephone_number": "978-606-9770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HOWARD ST",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018304006",
"telephone_number": "978-606-9770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY SERVICE AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-07",
"last_updated": "2011-01-07",
"status": "A",
"authorized_official_last_name": "BRIDGES",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "ERIN",
"authorized_official_title_or_position": "ICC",
"authorized_official_telephone_number": "978-606-9770",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BA"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "MA",
"license": "S71963777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Health and Education Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Haverhill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.