Healthcare Provider Details

I. General information

NPI: 1730533225
Provider Name (Legal Business Name): CIRCLE HEALTH URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2016
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 BOSTON RD
NORTH BILLERICA MA
01862-2328
US

IV. Provider business mailing address

295 VARNUM AVE
LOWELL MA
01854-2134
US

V. Phone/Fax

Practice location:
  • Phone: 978-323-2850
  • Fax:
Mailing address:
  • Phone: 978-937-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: TRACIE L MCPADDEN
Title or Position: ASSOCIATE CHIEF NURSING OFFICER
Credential:
Phone: 978-942-2320