Organization Active NPI

Merrimack Valley Health Services, Inc.

  • Mobile Radiology Clinic/Center
  • Newburyport, MA
National Provider Identifier
1720022163
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
4462 Issued in MA
Legal business name
MERRIMACK VALLEY HEALTH SERVICES, INC.
Practice address
25 Highland Ave
Newburyport, MA 01950-3867
Phone
(978) 463-1295
NPI assigned
Jun 16, 2006
Reactivated
Aug 31, 2010
Last updated
Aug 22, 2020By the provider in NPPES
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
Christopher J. Joyce
Title
Senior VP, Gen. Counsel, Secretary
Phone
(714) 688-3505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X 4462 MA Primary

Addresses

Primary practice location

25 Highland Ave
Newburyport, MA 01950-3867

Mailing address

1900 S State College Blvd
Suite 600
Anaheim, CA 92806-6136
Phone (800) 544-3215

Other identifiers 8

IdentifierTypeStateIssuer
608297OtherMAHARVARD PILGRIM HLTH CARE
114493500OtherMAU.S. DEPT OF LABOR OWCP
0007697OtherMANEIGHBORHOOD HEALTH PLAN
1532464MedicaidMA
708812OtherMATUFTS/SECURE HORIZONS
981083OtherMANETWORK HEALTH
018269OtherMABCBS
0489237OtherMACIGNA / HEALTHSOURCE

National Provider Directory

National Provider Directory
Tax ID family
Merrimack Valley Health Services Inc3 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": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720022163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S STATE COLLEGE BLVD",
            "address_2": "SUITE 600",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928066136",
            "telephone_number": "800-544-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND AVE",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503867",
            "telephone_number": "978-463-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIMACK VALLEY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "deactivation_date": "2006-06-16",
        "reactivation_date": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "JOYCE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SENIOR VP, GEN. COUNSEL, SECRETARY",
        "authorized_official_telephone_number": "714-688-3505"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "MA",
            "license": "4462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HLTH CARE",
            "identifier": "608297",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPT OF LABOR OWCP",
            "identifier": "114493500",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0007697",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1532464",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS/SECURE HORIZONS",
            "identifier": "708812",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "981083",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "018269",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA / HEALTHSOURCE",
            "identifier": "0489237",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.