MEDICARE: SAINTS MEMORIAL CENTER WALK IN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1205934528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINTS MEMORIAL CENTER WALK IN

Provider Business Mailing Address
First Line	:	600 CLARK RD
Second Line	:	2ND FLOOR
City	:	TEWKSBURY
State	:	MA
Zip	:	01876-1699
Country	:	US
Telephone Number	:	978-453-9944
Fax Number	:

Provider Business Practice Location Address
First Line	:	1230 BRIDGE ST
Second Line	:
City	:	LOWELL
State	:	MA
Zip	:	01850-1261
Country	:	US
Telephone Number	:	978-459-2273
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	FRAN LANNAN
Credential	:
Telephone Number	:	978-453-9944

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/22/2020

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Directions to “SAINTS MEMORIAL CENTER WALK IN ” Practice Location

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