Healthcare Provider Details

I. General information

NPI: 1528221470
Provider Name (Legal Business Name): NORTH PROVIDENCE URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2008
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 MINERAL SPRING AVE
NORTH PROVIDENCE RI
02904
US

IV. Provider business mailing address

1830 MINERAL SPRING AVE
N PROVIDENCE RI
02904-3864
US

V. Phone/Fax

Practice location:
  • Phone: 401-353-1999
  • Fax: 401-270-3080
Mailing address:
  • Phone: 401-353-1999
  • Fax: 401-270-3080

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: ANTHONY G FARINA JR.
Title or Position: OWNER PHYSICIAN
Credential: MD
Phone: 401-353-1999