Active NPI
Delores'Survivor'Swig&Formboutique
- Durable Medical Equipment & Medical Supplies
- Swansea, MA
National Provider Identifier
1851578561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DELORES'SURVIVOR'SWIG&FORMBOUTIQUE
- Practice address
- 1162 Gar Highway
Unit 11
Swansea, MA 02777-4225 - Phone
- (508) 674-3800
- Fax
- (508) 675-9745
- NPI assigned
- Jan 24, 2008
- 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
- Delores Lynch
- Title
- Owner/Fitter
- Phone
- (508) 674-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MA | Primary |
Addresses
Primary practice location
1162 Gar Highway
Unit 11
Swansea, MA 02777-4225
Mailing address
1162 Gar Highway
Unit 11
Swansea, MA 02777-4225
Phone (508) 674-3800
National Provider Directory
National Provider DirectoryLocations
1162 Gar Hwy
Ste 11
Swansea, MA 02777
Phone (508) 674-3800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619740800000",
"number": "1851578561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1162 GAR HIGHWAY",
"address_2": "UNIT 11",
"city": "SWANSEA",
"state": "MA",
"postal_code": "027774225",
"telephone_number": "508-674-3800",
"fax_number": "508-675-9745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1162 GAR HIGHWAY",
"address_2": "UNIT 11",
"city": "SWANSEA",
"state": "MA",
"postal_code": "027774225",
"telephone_number": "508-674-3800",
"fax_number": "508-675-9745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELORES'SURVIVOR'SWIG&FORMBOUTIQUE",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-24",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A",
"authorized_official_last_name": "LYNCH",
"authorized_official_first_name": "DELORES",
"authorized_official_title_or_position": "OWNER/FITTER",
"authorized_official_telephone_number": "508-674-3800"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Swansea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.