Organization Active NPI

Town of Ludlow

  • Public Health or Welfare Agency
  • Ludlow, MA
National Provider Identifier
1952476905
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
TOWN OF LUDLOW
Practice address
488 Chapin St
Ludlow, MA 01056-2523
Phone
(413) 583-5600
Fax
(413) 583-5689
NPI assigned
Nov 22, 2006
Last updated
Jul 17, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
TOWN OF LUDLOWAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Bruce Dziura, MD
Title
Chairman Board of Health
Phone
(413) 583-5600

Specialties & licenses 1

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

Addresses

Primary practice location

488 Chapin St
Ludlow, MA 01056-2523

Mailing address

488 Chapin St
Ludlow, MA 01056-2523
Phone (413) 583-5600

Other names 1

  • Ludlow Board of Health Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081105000025 MA Part B Supplier - Mass Immunization (Roster Biller Only) 3375553928 Practice locations: Ludlow, 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 Ludlow3 organizations share this tax ID, including this one
Part of
Town of Ludlow

Other organizations with this tax ID 2

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

Locations

488 Chapin St
Ludlow, MA 01056
Phone (413) 583-5600

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1952476905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 CHAPIN ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562523",
            "telephone_number": "413-583-5600",
            "fax_number": "413-583-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 CHAPIN ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562523",
            "telephone_number": "413-583-5600",
            "fax_number": "413-583-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF LUDLOW",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN OF LUDLOW",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "DZIURA",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CHAIRMAN BOARD OF HEALTH",
        "authorized_official_telephone_number": "413-583-5600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ludlow Board of Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ludlow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.