NPIMap

Organization Active NPI

Urgent Care Medical Center LLC

  • Urgent Care Clinic/Center
  • Ellington, CT
National Provider Identifier
1295186286
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
URGENT CARE MEDICAL CENTER LLC
Practice address
105 West Road
Suite 5
Ellington, CT 06029
Phone
(860) 454-0678
Fax
(860) 926-4245
NPI assigned
Jun 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Shelley Ramsdell
Title
Administrative Director, Operations
Phone
(860) 205-7811

Specialties & licenses 1

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

Addresses

Primary practice location

105 West Road
Suite 5
Ellington, CT 06029

Mailing address

105 West Road
Suite 5
Ellington, CT 06029
Phone (860) 454-0678

Other names 1

  • Priority Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161213002666 CT Part B Supplier - Clinic/Group Practice 0840570628 Receives reassigned benefits from 87 practitioners
Practice locations: Unionville, CT; Wallingford, CT; Oxford, CT; Newington, CT; Ellington, CT; East Haven, CT; Cromwell, CT
O20240813000488 MA Part B Supplier - Clinic/Group Practice 0840570628 Receives reassigned benefits from 32 practitioners
Practice locations: Chicopee, MA; Springfield, MA; Westfield, MA

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
07D2117675Priority Urgent Care105 West Road, Suite 5, Ellington, CT 06029Certificate of waiverAug 21, 2026

National Provider Directory

National Provider Directory

Locations

105 West Rd
Ste 5
Ellington, CT 06029
Phone (315) 956-7180

278 Oxford Rd
Oxford, CT 06478
Phone (475) 675-5502

278 Oxford Rd
Ste 2
Oxford, CT 06478
Phone (475) 675-5502

790 N Colony Rd
Wallingford, CT 06492

790 N Colony Rd
Wallingford, CT 06492
Phone (475) 310-3140

311 E Main St
Westfield, MA 01085
Phone (413) 516-2355

Practitioners & affiliated clinicians

Practitioners 102

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 102

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1295186286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WEST ROAD",
            "address_2": "SUITE 5",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "06029",
            "telephone_number": "860-454-0678",
            "fax_number": "860-926-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WEST ROAD",
            "address_2": "SUITE 5",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "06029",
            "telephone_number": "860-454-0678",
            "fax_number": "860-926-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "RAMSDELL",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR, OPERATIONS",
        "authorized_official_telephone_number": "860-205-7811"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Priority Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.