GREEN MOUNTAIN URGENT CARE LLC NPI 1902495484

NPI Information

NPI: 1902495484
Provider Name: GREEN MOUNTAIN URGENT CARE LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 22D2229555

Address:
856 STATE RD
NORTH ADAMS, MA
ZIP 01247
Phone: (603) 526-4635
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GREEN MOUNTAIN URGENT CARE LLC is an urgent care clinic center in North Adams, MA. GREEN MOUNTAIN URGENT CARE LLC NPI is 1902495484. The provider is registered as an organization entity type.

The provider's business location address is:

856 STATE RD
NORTH ADAMS, MA
ZIP 01247-027
Phone: (603) 526-4635

The provider's authorized official is Marcus J Hampers .
The authorized official title is Managing Employee and has the following contact phone number (603) 526-4635.

The CLIA number assigned to this NPI record is 22D2229555 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2021 and was last updated on 7/21/2022.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6708107	MEDICAID	VERMONT
2	110175971A	MEDICAID	MASSACHUSETTS

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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