Healthcare Provider Details

I. General information

NPI: 1902146798
Provider Name (Legal Business Name): URGI CENTER MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2013
Last Update Date: 08/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 JAN SEBASTIAN DR 100
SANDWICH MA
02563
US

IV. Provider business mailing address

297 NORTH ST STE 221
HYANNIS MA
02601-5133
US

V. Phone/Fax

Practice location:
  • Phone: 508-833-2639
  • Fax: 508-833-1562
Mailing address:
  • Phone: 508-862-7777
  • Fax: 508-862-7496

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: MICHAEL CONNORS
Title or Position: CFO
Credential:
Phone: 508-957-8540