Active NPI
Town of Pembroke
- Public Health or Welfare Agency
- Pembroke, MA
National Provider Identifier
1720336795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- TOWN OF PEMBROKE
- Practice address
- 100 Center St
Pembroke, MA 02359-2207 - Phone
- (781) 293-4673
- Fax
- (781) 293-4650
- NPI assigned
- Aug 24, 2012
- Last updated
- Nov 15, 2017
- 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
- Kristine Shaw Fraser
- Title
- Administrative Assistant
- Phone
- (781) 293-5416
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | NU | Primary |
Addresses
Primary practice location
100 Center St
Pembroke, MA 02359-2207
Mailing address
100 Center St
Pembroke, MA 02359-2207
Phone (781) 293-5416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130617000476 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 6406940931 | Practice locations: Pembroke, 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 Pembroke
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Pembroke, MA
- NPI 1518049907
-
dba Pembroke Public Schools
- Local Education Agency (LEA)
- Pembroke, MA
- NPI 1841323227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510704000000",
"number": "1720336795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CENTER ST",
"city": "PEMBROKE",
"state": "MA",
"postal_code": "023592207",
"telephone_number": "781-293-5416",
"fax_number": "781-293-9013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CENTER ST",
"city": "PEMBROKE",
"state": "MA",
"postal_code": "023592207",
"telephone_number": "781-293-4673",
"fax_number": "781-293-4650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF PEMBROKE",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-24",
"last_updated": "2017-11-15",
"status": "A",
"authorized_official_last_name": "FRASER",
"authorized_official_first_name": "KRISTINE",
"authorized_official_middle_name": "SHAW",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "781-293-5416"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke, MA
- The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy #14)
- Robert Michael Thompson, MAOM, LIC. AC.
- Kimberly Lennox Thornton, PA-C
- Tmed Holdings, Inc. (Charm Medical Supply)
- Town of Pembroke
- Town of Pembroke (Pembroke Public Schools)
- Shanna Ann Townley, LMHC
- Ryan Christopher Trabucco
- Tulasolc Co.
- Uhs of Westwood Pembroke
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.