NPIMap

Organization Active NPI

Umass Memorial Medical Center

  • Primary Care Clinic/Center
  • Worcester, MA
National Provider Identifier
1679791339
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
UMASS MEMORIAL MEDICAL CENTER
Practice address
55 Lake Ave North
Worcester, MA 01655
Phone
(508) 334-0254
NPI assigned
Apr 20, 2007
Last updated
Jul 11, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
UMASS MEMORIAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Mr. Todd Keating
Title
Chief Financial Officer
Phone
(508) 334-0254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MA Primary

Addresses

Primary practice location

55 Lake Ave North
Worcester, MA 01655

Mailing address

365 Plantation Street
Worcester, MA 01604
Phone (508) 334-0254

National Provider Directory

National Provider Directory
Tax ID family
Ummhc Memorial Health Care15 organizations share this tax ID, including this one
Part of
Ummhc Memorial Health Care

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1679791339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 PLANTATION STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01604",
            "telephone_number": "508-334-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE NORTH",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01655",
            "telephone_number": "508-334-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMASS MEMORIAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UMASS MEMORIAL MEDICAL CENTER",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "KEATING",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "508-334-0254",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.