Healthcare Provider Details

I. General information

NPI: 1891579157
Provider Name (Legal Business Name): URGENT CARE SPECIALISTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 05/31/2025
Certification Date: 05/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

688 BLISS RD
LONGMEADOW MA
01106
US

IV. Provider business mailing address

5 SHREWSBURY ST STE D
HOLDEN MA
01520-1960
US

V. Phone/Fax

Practice location:
  • Phone: 413-567-0011
  • Fax: 413-567-0013
Mailing address:
  • Phone: 508-829-3810
  • Fax: 508-829-3815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JASON L ADAMS
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 508-829-3808