Healthcare Provider Details

I. General information

NPI: 1134050461
Provider Name (Legal Business Name): CARBON HEALTH URGENT CARE OF MASSACHUSETTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

578 HUNTINGTON AVE STE 2
BOSTON MA
02115-5902
US

IV. Provider business mailing address

PO BOX 210
PORTSMOUTH NH
03802-0210
US

V. Phone/Fax

Practice location:
  • Phone: 508-283-9775
  • Fax: 617-221-9960
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARLEY PAGE
Title or Position: DIRECTOR OF CONTRACTING
Credential:
Phone: 417-861-9739