Signature Healthcare Urgent Care, Inc.
Organization Active NPI Urgent Care Clinic/Center · Brockton, MA
NPI 1750141263 · NPPES record last updated Mar 21, 2024
Key facts
- NPI
- 1750141263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- SIGNATURE HEALTHCARE URGENT CARE, INC.
- Practice address
- 650 Centre St
Brockton, MA 02302-3308 - 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 32
-
Tinamarie Adly, NP
-
Michael Paul Anthony, PA-C, M.S.
-
Jillian K Barry, NP
-
Amanda Florence Berg, PA-C
-
Brian Bonenfant, PA
-
Giyoung Choi, PHYSICIAN ASSISTANT
-
Mark Daniel Franciosa, M.D.
-
Kristin Leigh Hauvuy, APRN, FNP-BC
-
Kacey Henderson, FNP
-
Loving Ihenacho, NP
-
Anthony E. Kraus, M.D.
-
Adrea S Lee, M.D.
-
Ashley Leer, FNP-C
-
Jeffrey A Lucak, PA-C
-
Mary Beth L. Maher, PA-C
-
Kara L Minnock, NP
-
Daisy Ormseth, NP
-
Stephanie Lynn Pine, FNP-C
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 This NPI is an additional NPI on the enrollment Practice locations: Brockton, MA; East Bridgewater, MA |
National Provider Directory
- Part of
- Signature Healthcare Urgent
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
650 Centre St
Brockton, MA 02302-3308
Mailing address
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
Other providers in Brockton, MA
- Sierra Express Medical Delivery LLC
- Eduardo Sierra
- Signature Healthcare Medical Group
- Signature Healthcare Medical Group Inc
- Signature Healthcare Medical Group, Inc.
- Signature Healthcare Urgent Care, Inc.
- Don S Silberman
- Courtney May Silva
- Daniel James Silva I
- Kevan Joseph Silva
All providers in Brockton, 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 Mar 21, 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.