Organization Active NPI

Delores'Survivor'Swig&Formboutique

  • Durable Medical Equipment & Medical Supplies
  • Swansea, MA
National Provider Identifier
1851578561
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Apr 30, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.