Healthcare Provider Details
I. General information
NPI: 1659802783
Provider Name (Legal Business Name): URGENT CARE CENTERS OF CENTRAL MASSACHUSETTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/21/2017
Last Update Date: 02/09/2024
Certification Date: 02/09/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 LINCOLN ST
WORCESTER MA
01605-1916
US
IV. Provider business mailing address
10 FERRY ST STE 302
CONCORD NH
03301-5081
US
V. Phone/Fax
- Phone: 774-420-2111
- Fax: 774-420-2112
- 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