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TOWN OF ANDOVER
NPI 1609913706
Clinic/Center - Public Health, State or Local in Andover, MA

Active since January 30, 2007
36 BARTLET ST, ANDOVER, MA 01810(978) 623-8640(978) 623-8694 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Town Of Andover NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOWN OF ANDOVER (NPI 1609913706) is a healthcare organization registered as a public health, state or local in Andover, Massachusetts and active in the NPI registry since January 2007. The organization lists Amy Ewing, Assistant Health Director, as its authorized official.

NPPES Registry Identity

NPI1609913706
Entity TypeOrganization
Primary Taxonomy261QP0905X
Legal Business NameTOWN OF ANDOVER
Location Address36 BARTLET STAndover, MA 01810-3813
Mailing Address36 Bartlet StAndover, MA 01810-3813 · (978) 623-8640 · Fax (978) 623-8694
Phone(978) 623-8640
Fax(978) 623-8694
Organization SubpartNo
Authorized OfficialAmy EwingAssistant Health Director · (978) 623-8640
Enumeration DateJanuary 30, 2007
Last NPPES UpdateOctober 23, 20252 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1609913706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Public Health, State or LocalAmbulatory Health Care Facilities
Taxonomy Code261QP0905X
36 BARTLET ST, Andover, MA 01810
Open in Google Maps ↗

Other Names 1

Other NameAndover Health Department

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Town Of Andover is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMassachusettsEnrollment IDO20130401000295Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
158 services158 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
156 services156 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERIE LYNN MONAHAN RN, CPNP
Nurse Practitioner (Pediatrics)
36 BARTLET ST
ANDOVER, MA 01810
Essex County (978) 623-8644
DAWN D WEBBER
Social Worker (School)
36 BARTLET ST
ANDOVER, MA 01810
Essex County (978) 888-1679

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Town Of Andover's NPI number?

The NPI number for Town Of Andover is 1609913706. It was assigned to this organization in the NPPES registry on January 30, 2007. The provider is also known as Andover Health Department.

Where is Town Of Andover located?

Town Of Andover is located at 36 Bartlet St, Andover, MA 01810. The listed phone number is (978) 623-8640.

What is Town Of Andover's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, State or Local, with taxonomy code 261QP0905X.

Is Town Of Andover enrolled in Medicare?

Yes. Town Of Andover is registered in the Medicare PECOS enrollment system.

When is Town Of Andover's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Massachusetts, Mass Immunization (Roster Biller Only)) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Town Of Andover was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.