NPIMap

Organization Active NPI

Mass General Brigham Urgent Care LLC

  • Urgent Care Clinic/Center
  • Westwood, MA
National Provider Identifier
1144782467
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
90 Brigham Way
Westwood, MA 02090
Phone
(617) 724-9245
NPI assigned
Apr 4, 2019
Organization subpart
Yes
Parent organization
MASS GENERAL BRIGHAM URGENT CARE LLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Kevin Robert Mulcahy
Title
Senior Director
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
22D2165408Mass General Brigham Urgent Care90 Brigham Way, Westwood, MA 02090Certificate of waiverApr 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mass General Brigham Urgent Care LLC7 organizations share this tax ID, including this one
Part of
Mass General Brigham Urgent Care LLC

Other organizations with this tax ID 6

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

90 Brigham Way
Westwood, MA 02090

Mailing address

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2021.

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1144782467",
    "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": "90 BRIGHAM WAY",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "02090",
            "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 Westwood, 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.