URGENT CARE OF WALTHAM LLC NPI 1720442247

NPI Information

NPI: 1720442247
Provider Name: URGENT CARE OF WALTHAM, LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 07D2044321

Address:
1019 TRAPELO RD
WALTHAM, MA
ZIP 02452
Phone: (860) 657-8289
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URGENT CARE OF WALTHAM, LLC is an urgent care clinic center in Waltham, MA. URGENT CARE OF WALTHAM, LLC NPI is 1720442247. The provider is registered as an organization entity type.

The provider's business location address is:

1019 TRAPELO RD
WALTHAM, MA
ZIP 02452-843
Phone: (860) 657-8289
Fax: (203) 905-6824

The provider's authorized official is Jeannie Kenkare .
The authorized official title is Cmo and has the following contact phone number (203) 885-0808.

The CLIA number assigned to this NPI record is 07D2044321 - other - urgent care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2016 and was last updated on 5/3/2016.

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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