Outer Cape Health Services, Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

OUTER CAPE HEALTH SERVICES, INC.

Doing business as

Outer Cape Health Urgent Care

Practice address

49 Harry Kemp Way
Provincetown, MA 02657-1618

Phone

(508) 487-9395

NPI assigned

Dec 9, 2011

Last updated

Sep 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lina Lillian Winters

Title

Director of Revenue Cycle

Phone

(508) 905-2431

Specialties & licenses 1

Addresses

Other names 1

• Outer Cape Health Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MA4 enrollments

Enrollment records 4

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1831467430. Details of each certification follow.

• CCN 221802 Federally qualified health center · Active · Details
• CCN 221807 Federally qualified health center · Active · Details
• CCN 221907 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 221802

Legal name

OUTER CAPE HEALTH SERVICES INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 1, 1991

Last certification

Oct 1, 1991

Ownership / control type

For profit – partnership

Organization structure

CorporationNon-profit

Incorporated

Dec 29, 1972 in MA

Enrollment address

3130 State Hwy Rte 6
Wellfleet, MA 26677402

Federally qualified health center certification: CCN 221807

Legal name

OUTER CAPE HEALTH SERVICES INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 1, 1991

Last certification

Oct 1, 1991

Ownership / control type

For profit – partnership

Organization structure

CorporationNon-profit

Incorporated

Dec 29, 1972 in MA

Enrollment address

49 Harry Kemp Way
Provincetown, MA 26571618

Federally qualified health center certification: CCN 221907

Legal name

OUTER CAPE HEALTH SERVICES INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 3, 2012

Last certification

Feb 3, 2012

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Dec 29, 1972 in MA

Enrollment address

710 Main St
Harwich Port, MA 26461931

Other NPIs on the same Medicare enrollment 4

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

• Outer Cape Health Services

  • Federally Qualified Health Center (FQHC)
  • Harwich Port, MA
  • NPI 1255629747

  O20050407000226, O20120131000506

  Same enrollment
• Outer Cape Health Services

  • Federally Qualified Health Center (FQHC)
  • Wellfleet, MA
  • NPI 1578726790

  O20030514000014, O20050407000226

  Same enrollment
• Outer Cape Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wellfleet, MA
  • NPI 1114774445

  O20050407000226

  Same enrollment
• Outer Cape Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Provincetown, MA
  • NPI 1841384013

  O20030514000014, O20030514000022, O20050407000226

  Same enrollment

Locations

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Damian K. Archer, MD

  • Family Medicine Physician
  • Harwich Port, MA
  • NPI 1699921866

  Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Practitioners 1

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.

• Rachel Bramson, M.D.

  • Family Medicine Physician
  • Wellfleet, MA
  • NPI 1437118213
  NPD

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1831467430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 598",
            "city": "HARWICH PORT",
            "state": "MA",
            "postal_code": "026460598",
            "telephone_number": "508-905-2800",
            "fax_number": "508-240-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HARRY KEMP WAY",
            "city": "PROVINCETOWN",
            "state": "MA",
            "postal_code": "026571618",
            "telephone_number": "508-487-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTER CAPE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "LINA",
        "authorized_official_middle_name": "LILLIAN",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "508-905-2431"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outer Cape Health Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Outer Cape Health Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Troy William Niezgoda, DC
• Brian O'Malley, M.D.
• Maryanne O'Toole, NP
• Outer Cape Health Services Inc (Provincetown Outer Cape Pharmacy)
• Outer Cape Health Services, Inc. (Outer Cape Health Services Dental)
• Outer Cape Health Services, Inc.
• Andrew K Palmer, MD
• Monica Teresa Paz, DDS
• Edith Pels, LIC. AC.
• Stanley De Oliveira Pimenta, DDS

• Urgent Care Clinic/Center in Provincetown, MA
• Providers in Provincetown, MA by specialty
• Urgent Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.