Organization Active NPI

Mass General Brigham Urgent Care LLC

  • Urgent Care Clinic/Center
  • Natick, MA
National Provider Identifier
1053873372
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MASS GENERAL BRIGHAM URGENT CARE LLC
Practice address
219 Main Street
Natick, MA 01760
Phone
(617) 724-9245
NPI assigned
Apr 4, 2019
Last updated
Jul 27, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MASS GENERAL BRIGHAM URGENT CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevin Robert Mulcahy
Title
Senior Director
Phone
(617) 724-9245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

219 Main Street
Natick, MA 01760

Mailing address

399 Revolution Dr
Somerville, MA 02145-1444
Phone (617) 724-9245

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2165404Mass General Brigham Urgent Care219 North Main Street, Natick, MA 01760Certificate of waiverApr 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mass General Brigham Urgent7 organizations share this tax ID, including this one
Part of
Mass General Brigham Urgent

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1053873372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 REVOLUTION DR",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451444",
            "telephone_number": "617-724-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 MAIN STREET",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "01760",
            "telephone_number": "617-724-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS GENERAL BRIGHAM URGENT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASS GENERAL BRIGHAM URGENT CARE LLC",
        "enumeration_date": "2019-04-04",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "MULCAHY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "617-724-9245"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.