Healthcare Provider Details

I. General information

NPI: 1316479660
Provider Name (Legal Business Name): BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 MAPLE ST. LAHEY HEALTH URGENT CARE, DANVERS
DANVERS MA
01923
US

IV. Provider business mailing address

41 MALL RD
BURLINGTON MA
01805-0001
US

V. Phone/Fax

Practice location:
  • Phone: 781-744-8085
  • Fax:
Mailing address:
  • Phone: 781-744-8085
  • 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: ALEX BARKER
Title or Position: PRESIDENT
Credential: MD
Phone: 781-552-0022