Healthcare Provider Details
I. General information
NPI: 1891188546
Provider Name (Legal Business Name): CAREWELL URGENT CARE CENTERS OF MA, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/05/2015
Last Update Date: 02/09/2024
Certification Date: 02/09/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
603 CONCORD AVE UNIT 101
CAMBRIDGE MA
02138-1197
US
IV. Provider business mailing address
10 FERRY ST STE 302
CONCORD NH
03301-5081
US
V. Phone/Fax
- Phone: 617-302-4194
- Fax: 617-481-9587
- Phone: 603-526-4635
- Fax: 603-526-2151
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARCUS
J
HAMPERS
Title or Position: CEO
Credential: MD
Phone: 603-526-4635