Organization Active NPI

Wicfol Human Services

  • Exclusive Provider Organization
  • Bridgewater, MA
National Provider Identifier
1740527787
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
WICFOL HUMAN SERVICES
Practice address
1785 South St
Bridgewater, MA 02324-3525
Phone
(598) 685-6449
NPI assigned
Jan 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Mr. Joseph E Weeks Jr.
Title
President/Ceo
Phone
(508) 685-6449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

1785 South St
Bridgewater, MA 02324-3525

Mailing address

1785 South St
Bridgewater, MA 02324-3525
Phone (598) 685-6449

Other identifiers 1

IdentifierTypeStateIssuer
1740527787MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1740527787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 SOUTH ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023243525",
            "telephone_number": "598-685-6449",
            "fax_number": "508-807-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 SOUTH ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023243525",
            "telephone_number": "598-685-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICFOL HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "508-685-6449",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740527787",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.