Organization Active NPI

Town of Westborough

  • Public Health or Welfare Agency
  • Westborough, MA
National Provider Identifier
1780774216
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
TOWN OF WESTBOROUGH
Practice address
34 W Main St RM 210
Westborough, MA 01581-1902
Phone
(508) 366-3045
Fax
(508) 366-3047
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Mr. Steven Dale Baccari
Title
Director of Public Health
Phone
(508) 366-3045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

34 W Main St RM 210
Westborough, MA 01581-1902

Mailing address

34 W Main St RM 210
Westborough, MA 01581-1902
Phone (508) 366-3045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081020000360 MA Part B Supplier - Mass Immunization (Roster Biller Only) 9638189897 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Westborough, MA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

34 W Main St
Rm 210
Westborough, MA 01581
Phone (508) 366-3045

42 Milk St
Westborough, MA 01581
Phone (508) 366-3040

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1780774216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 W MAIN ST RM 210",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811902",
            "telephone_number": "508-366-3045",
            "fax_number": "508-366-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W MAIN ST RM 210",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811902",
            "telephone_number": "508-366-3045",
            "fax_number": "508-366-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WESTBOROUGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "BACCARI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
        "authorized_official_telephone_number": "508-366-3045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.

Verify at the official NPI Registry.