Provider Demographics
NPI:1982072260
Name:CAREWELL URGENT CARE CENTERS OF MA, PC
Entity Type:Organization
Organization Name:CAREWELL URGENT CARE CENTERS OF MA, PC
Other - Org Name:CAREWELL URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MM
Authorized Official - Last Name:CORNWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-302-4194
Mailing Address - Street 1:2 ADAMS PL
Mailing Address - Street 2:SUITE 305
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-7456
Mailing Address - Country:US
Mailing Address - Phone:617-302-4194
Mailing Address - Fax:617-481-9587
Practice Address - Street 1:333 SW CUTOFF
Practice Address - Street 2:UNIT 202
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-2130
Practice Address - Country:US
Practice Address - Phone:617-302-4194
Practice Address - Fax:617-481-9587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care