Provider Demographics
NPI:1659153203
Name:URGENT CARE MEDICAL ASSOCIATES OF MASSACHUSETTS, LLC
Entity Type:Organization
Organization Name:URGENT CARE MEDICAL ASSOCIATES OF MASSACHUSETTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-430-1246
Mailing Address - Street 1:PO BOX 1339
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-6339
Mailing Address - Country:US
Mailing Address - Phone:860-430-1246
Mailing Address - Fax:860-656-0669
Practice Address - Street 1:1210 BOYLSTON ST
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-2109
Practice Address - Country:US
Practice Address - Phone:860-650-3848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care