NPIMap

Organization Active NPI

Town of Medfield

  • Public Health or Welfare Agency
  • Medfield, MA
National Provider Identifier
1871220335
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
TOWN OF MEDFIELD
Doing business as
Board of Health
Town of Medfield Board of Health
Practice address
459 Main St
Medfield, MA 02052-2009
Phone
(508) 906-3044
NPI assigned
Aug 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Brenda M Healy, RNNPI 1447994140
Title
Public Health Nurse
Phone
(508) 906-3044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

459 Main St
Medfield, MA 02052-2009

Mailing address

459 Main St
Medfield, MA 02052-2009
Phone (508) 906-3044

Other names 2

  • Board of Health Doing business as
  • Town of Medfield Board of Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221017000922 MA Part B Supplier - Mass Immunization (Roster Biller Only) 1951494830 Practice locations: Medfield, 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 Medfield3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

112 North St
Medfield, MA 02052
Phone (508) 359-2323

459 Main St
Medfield, MA 02052
Phone (508) 359-7121

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1871220335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 MAIN ST",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522009",
            "telephone_number": "508-906-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 MAIN ST",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522009",
            "telephone_number": "508-906-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MEDFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PUBLIC HEALTH NURSE",
        "authorized_official_telephone_number": "508-906-3044",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Board of Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Town of Medfield Board of Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.