NPIMap

Organization Active NPI

SSMC Urgent Care

  • Urgent Care Clinic/Center
  • Norwell, MA
National Provider Identifier
1205347176
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SSMC URGENT CARE
Practice address
143 Longwater Dr.
Norwell, MA 02061
Phone
(781) 878-5200
NPI assigned
Oct 19, 2017
Organization subpart
Yes
Parent organization
SOUTH SHORE MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Jaclyn Valanzola
Title
Cfo
Phone
(781) 681-0384

Specialties & licenses 1

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

Addresses

Primary practice location

143 Longwater Dr.
Norwell, MA 02061

Mailing address

141 Longwater Dr.
Norwell, MA 02061
Phone (781) 878-5200

National Provider Directory

National Provider Directory
Tax ID family
South Shore Medical Ctr7 organizations share this tax ID, including this one
Part of
South Shore Medical Ctr

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": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1205347176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LONGWATER DR.",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "02061",
            "telephone_number": "781-878-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 LONGWATER DR.",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "02061",
            "telephone_number": "781-878-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSMC URGENT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH SHORE MEDICAL CENTER, INC.",
        "enumeration_date": "2017-10-19",
        "last_updated": "2024-01-23",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "VALANZOLA",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-681-0384"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.