Organization Active NPI

Umass Memorial Medical Group, Inc.

Doing business as Urgent Care Express at Harrington

  • Urgent Care Clinic/Center
  • Southbridge, MA
National Provider Identifier
1154008209
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
UMASS MEMORIAL MEDICAL GROUP, INC.
Doing business as
Urgent Care Express at Harrington
Practice address
164 South St
Southbridge, MA 01550-4010
Phone
(508) 909-8550
Fax
(508) 909-2110
NPI assigned
Jun 30, 2023
Last updated
Nov 17, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
UMASS MEMORIAL MEDICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Geraldine Vaughan
Title
SVP/Coo
Phone
(774) 442-1520

Specialties & licenses 1

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

Addresses

Primary practice location

164 South St
Southbridge, MA 01550-4010

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Other practice location 1

78 Sutton Ave
Oxford, MA 01540-1813
Phone (508) 499-1760

Other names 1

  • Urgent Care Express at Harrington Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Univ Mass Group Practic6 organizations share this tax ID, including this one
Part of
Univ Mass Group Practic

Other organizations with this tax ID 5

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

Locations

78 Sutton Ave
Oxford, MA 01540
Phone (508) 499-1760

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1154008209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SOUTH ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015504010",
            "telephone_number": "508-909-8550",
            "fax_number": "508-909-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78 Sutton Ave",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MA",
            "postal_code": "015401813",
            "country_code": "US",
            "telephone_number": "508-499-1760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UMASS MEMORIAL MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UMASS MEMORIAL MEDICAL GROUP, INC.",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_title_or_position": "SVP/COO",
        "authorized_official_telephone_number": "774-442-1520"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care Express at Harrington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Urgent Care Express at Harrington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.