Signature Healthcare Urgent Care, Inc.
Organization Active NPI Urgent Care Clinic/Center · East Bridgewater, MA
NPI 1295595700 · NPPES record last updated Apr 9, 2024
Key facts
- NPI
- 1295595700
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- SIGNATURE HEALTHCARE URGENT CARE, INC.
- Practice address
- 1 Donald'S Way
East Bridgewater, MA 02333-1465 - Phone
- (508) 941-7001
- NPI assigned
- Mar 21, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- SIGNATURE HEALTHCARE URGENT CARE, INC.
Authorized official
- Name
- Mr. Robert J Haffey
- Title
- President
- Phone
- (508) 941-7004
Other NPIs on the same Medicare enrollment 2
Practitioners 33
-
Jillian K Barry, NP
-
Kady Anne Bonica, FNP
-
Mark Daniel Franciosa, M.D.
-
Kristin Leigh Hauvuy, APRN, FNP-BC
-
Kacey Henderson, FNP
-
Loving Ihenacho, NP
-
Ashley Leer, FNP-C
-
Kara L Minnock, NP
-
Daisy Ormseth, NP
-
Stephanie Lynn Pine, FNP-C
-
Janet C Testoni, NP
-
David J Rogers, P.A.-C
-
Tinamarie Adly, NP
-
Brian Bonenfant, PA
-
Anthony E. Kraus, M.D.
-
Adrea S Lee, M.D.
-
Inna Baran, M.D.
-
Wan Yee Kong, M.D
-
Matthew Lambton, D.O
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240615000011 | MA | Part B Supplier - Clinic/Group Practice | 5799228060 |
Receives reassigned benefits from 33 practitioners 2 other NPIs on this enrollment Practice locations: Brockton, MA; East Bridgewater, MA |
National Provider Directory
- Part of
- Signature Healthcare Urgent
Locations
110 Liberty St
Ste 1C
Brockton, MA 02301
Phone (508) 941-7100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
1 Donald'S Way
East Bridgewater, MA 02333-1465
Mailing address
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
Other providers in East Bridgewater, MA
- Jennifer Marie Seaberg
- Jonathan M Shapiro
- Samantha Shea
- Lynn Rose Sheppard
- Signature Healthcare Medical Group, Inc.
- Colleen M Silva
- Ashley Christine Simoni
- Melissa Sinewick
- Andrew Smith
- Deanna Smith
All providers in East Bridgewater, MA · Urgent Care Clinic/Center in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.