NPIMap

Organization Active NPI

City of Springfield

  • Public Health or Welfare Agency
  • Springfield, MA
National Provider Identifier
1992878102
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CITY OF SPRINGFIELD
Practice address
95 State Street
Springfield, MA 01103-2000
Phone
(413) 787-6744
Fax
(413) 787-6458
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Helen R. Caulton Harris
Title
Director
Phone
(413) 787-6456

Specialties & licenses 1

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

Addresses

Primary practice location

95 State Street
Springfield, MA 01103-2000

Mailing address

95 State Street
Suite 201
Springfield, MA 01103-2000
Phone (413) 787-6740

Other names 1

  • Springfield Department of Health/Human Services Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100630000166 MA Part B Supplier - Mass Immunization (Roster Biller Only) 8921018540 Practice locations: Springfield, 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

Locations

1 Mgm Way
Springfield, MA 01103
Phone (413) 787-6744

1 Mgm Way
Fl 2
Springfield, MA 01103
Phone (413) 787-6760

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Health Services for the Homeless Health CenterSpringfield, MA, CCN 221926 Federally qualified health center Operational/Managerial Control (100%) Jan 4, 1984

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 9

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1992878102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 STATE STREET",
            "address_2": "SUITE 201",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032000",
            "telephone_number": "413-787-6740",
            "fax_number": "413-787-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 STATE STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032000",
            "telephone_number": "413-787-6744",
            "fax_number": "413-787-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SPRINGFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "CAULTON HARRIS",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "413-787-6456"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Department of Health/Human Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.