Active NPI
Town of Wrentham
- Public Health or Welfare Agency
- Wrentham, MA
National Provider Identifier
1740365329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- TOWN OF WRENTHAM
- Practice address
- 79 South St
Wrentham, MA 02093-1526 - Phone
- (508) 384-5485
- Fax
- (508) 384-5461
- NPI assigned
- Oct 25, 2006
- 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
- Dr. Ravindra Mohan Nadkarni, PH.D
- Title
- Chairman B.O.H.
- Phone
- (508) 384-5480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
79 South St
Wrentham, MA 02093-1526
Mailing address
79 South St
Wrentham, MA 02093-1526
Phone (508) 384-5485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051020000197 | MA | Part B Supplier - Public Health/Welfare Agency | 3274559166 | Practice locations: Wrentham, 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 Wrentham
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Wrentham, MA
- NPI 1194731661
-
- Local Education Agency (LEA)
- Wrentham, MA
- NPI 1073649810
Locations
79 South St
Wrentham, MA 02093
Phone (508) 384-3131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740365329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 SOUTH ST",
"city": "WRENTHAM",
"state": "MA",
"postal_code": "020931526",
"telephone_number": "508-384-5485",
"fax_number": "508-384-5461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 SOUTH ST",
"city": "WRENTHAM",
"state": "MA",
"postal_code": "020931526",
"telephone_number": "508-384-5485",
"fax_number": "508-384-5461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF WRENTHAM",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NADKARNI",
"authorized_official_first_name": "RAVINDRA",
"authorized_official_middle_name": "MOHAN",
"authorized_official_title_or_position": "CHAIRMAN B.O.H.",
"authorized_official_telephone_number": "508-384-5480",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wrentham, 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.