CONVENIENTMD LLC NPI 1316428824

NPI Information

NPI: 1316428824
Provider Name: CONVENIENTMD LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 22D2159165

Address:
29 STOREY AVE
NEWBURYPORT, MA
ZIP 01950
Phone: (978) 225-6607
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CONVENIENTMD LLC is an urgent care clinic center in Newburyport, MA. CONVENIENTMD LLC NPI is 1316428824. The provider is registered as an organization entity type.

The provider's business location address is:

29 STOREY AVE
NEWBURYPORT, MA
ZIP 01950-843
Phone: (978) 225-6607

The provider's authorized official is Gareth Dickens .
The authorized official title is Executive Chairman and has the following contact phone number (603) 501-0863.

The CLIA number assigned to this NPI record is 22D2159165 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2018 and was last updated on 8/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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