Active NPI
Town of Wayland
- Public Health or Welfare Agency
- Wayland, MA
National Provider Identifier
1902055007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- TOWN OF WAYLAND
- Practice address
- 41 Cochituate Rd
Wayland, MA 01778-2614 - Phone
- (508) 358-3617
- Fax
- (508) 358-3619
- NPI assigned
- Sep 12, 2008
- Last updated
- Sep 12, 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
- Mr. Steve Calichman, R.S., C.H.O
- Title
- Director of Public Health
- Phone
- (508) 358-3617
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
41 Cochituate Rd
Wayland, MA 01778-2614
Mailing address
41 Cochituate Rd
Wayland, MA 01778-2614
Phone (508) 358-3617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090127000010 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 0547261927 | Practice locations: Wayland, 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 Wayland
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Wayland, MA
- NPI 1407823123
-
- Local Education Agency (LEA)
- Wayland, MA
- NPI 1447377445
Locations
38 Cochituate Rd
Wayland, MA 01778
Phone (508) 358-6912
41 Cochituate Rd
Wayland, MA 01778
Phone (508) 358-3617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221177600000",
"number": "1902055007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 COCHITUATE RD",
"city": "WAYLAND",
"state": "MA",
"postal_code": "017782614",
"telephone_number": "508-358-3617",
"fax_number": "508-358-3619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 COCHITUATE RD",
"city": "WAYLAND",
"state": "MA",
"postal_code": "017782614",
"telephone_number": "508-358-3617",
"fax_number": "508-358-3619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF WAYLAND",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-12",
"last_updated": "2008-09-12",
"status": "A",
"authorized_official_last_name": "CALICHMAN",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
"authorized_official_telephone_number": "508-358-3617",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.S., C.H.O"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayland, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.