Organization Active NPI

Woonsocket Urgent Care PC

  • Internal Medicine Physician
  • North Attleboro, MA
National Provider Identifier
1215323407
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WOONSOCKET URGENT CARE PC
Practice address
40 Cumberland Ave
North Attleboro, MA 02760-4445
Phone
(781) 255-0500
NPI assigned
Apr 14, 2015
Organization subpart
Yes
Parent organization
WOONSOCKET URGENT CARE PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Mr. Paul Vallera, P.A.
Title
Ceo
Phone
(781) 255-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

40 Cumberland Ave
North Attleboro, MA 02760-4445

Mailing address

40 Cumberland Ave
North Attleboro, MA 02760-4445
Phone (781) 255-0500

Other identifiers 1

IdentifierTypeStateIssuer
110074292BMedicaidMA

Other names 1

  • North Attleboro Urgent Care Doing business as

National Provider Directory

National Provider Directory
Part of
Woonsocket Urgent Care PC

Locations

40 Cumberland Ave
North Attleboro, MA 02760
Phone (508) 399-8800

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1215323407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CUMBERLAND AVE",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027604445",
            "telephone_number": "781-255-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CUMBERLAND AVE",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027604445",
            "telephone_number": "781-255-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOONSOCKET URGENT CARE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOONSOCKET URGENT CARE PC",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "VALLERA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-255-0500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110074292B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Attleboro Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.