Provider Demographics
NPI:1982954285
Name:MINUTE CLINIC
Entity Type:Organization
Organization Name:MINUTE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROSBACH
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:774-269-6768
Mailing Address - Street 1:268 CLUB VALLEY DRIVE
Mailing Address - Street 2:
Mailing Address - City:EAST FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02536-4202
Mailing Address - Country:US
Mailing Address - Phone:508-563-6036
Mailing Address - Fax:
Practice Address - Street 1:268 CLUB VALLEY DRIVE
Practice Address - Street 2:
Practice Address - City:EAST FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02536-4202
Practice Address - Country:US
Practice Address - Phone:508-563-6036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN238043261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center