MEDICARE: WOONSOCKET URGENT CARE, PC

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	207R00000X	Internal Medicine Physician
2	261QU0200X	Urgent Care Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P13237	OTHER	MA	MEDICARE UPIN
3	709004964	OTHER	MA	MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437628385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOONSOCKET URGENT CARE, PC

Provider Business Mailing Address
First Line	:	1 WRENTHAM ST
Second Line	:
City	:	BELLINGHAM
State	:	MA
Zip	:	02019-2532
Country	:	US
Telephone Number	:	508-488-5488
Fax Number	:	505-545-1445

Provider Business Practice Location Address
First Line	:	1 WRENTHAM ST
Second Line	:
City	:	BELLINGHAM
State	:	MA
Zip	:	02019-2532
Country	:	US
Telephone Number	:	508-318-4466
Fax Number	:	508-545-1445

Authorized Official
Title or Position	:	OPERATIONS DIRECTOR
Name	:	JUSTIN MAVROMATIS
Credential	:
Telephone Number	:	508-488-5488

Provider Enumeration Date	:	11/21/2018
Last Update Date	:	12/01/2025

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Directions to “WOONSOCKET URGENT CARE, PC ” Practice Location

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