NPIMap

Organization Active NPI

Beth Israel Lahey Health Primary Care, Inc.

  • Urgent Care Clinic/Center
  • Gloucester, MA
National Provider Identifier
1609396803
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC.
Practice address
Lahey Health Urgent Care Gloucester
298 Washington St.
Gloucester, MA 01930
Phone
(978) 238-4000
NPI assigned
Jun 20, 2017
Last updated
Apr 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BETH ISRAEL LAHEY HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Alex Barker
Title
President
Phone
(781) 552-0022

Specialties & licenses 1

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

Addresses

Primary practice location

Lahey Health Urgent Care Gloucester
298 Washington St.
Gloucester, MA 01930

Mailing address

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8330

Other names 1

  • Lahey Physician Community Organization I INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160517000441 MA Part B Supplier - Clinic/Group Practice 7719291434 Receives reassigned benefits from 449 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Burlington, MA; South Hamilton, MA; Middleboro, MA; Manchester, MA; Gloucester, MA; Lynnfield, MA; Danvers, MA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

229 Lincoln Ave
#B
Haverhill, MA 01830

75 Riverside Ave
Ste 2
Medford, MA 02155
Phone (781) 306-0200

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1609396803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001",
            "telephone_number": "781-744-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAHEY HEALTH URGENT CARE GLOUCESTER",
            "address_2": "298 WASHINGTON ST.",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "01930",
            "telephone_number": "978-238-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BETH ISRAEL LAHEY HEALTH INC",
        "enumeration_date": "2017-06-20",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-552-0022"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lahey Physician Community Organization I INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gloucester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.