Active NPI
Urgent Care of Chestnut Hill, LLC
- Urgent Care Clinic/Center
- Chestnut Hill, MA
National Provider Identifier
1851755359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- URGENT CARE OF CHESTNUT HILL, LLC
- Practice address
- 1210 Boylston St
Chestnut Hill, MA 02467-2109 - Phone
- (860) 657-8289
- Fax
- (203) 905-6824
- NPI assigned
- Apr 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeannie Kenkare, DO
- Title
- Cmo
- Phone
- (203) 885-0808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
1210 Boylston St
Chestnut Hill, MA 02467-2109
Mailing address
2928 Main St
Glastonbury, CT 06033-1007
Phone (860) 657-8289
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462233600000",
"number": "1851755359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2928 MAIN ST",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060331007",
"telephone_number": "860-657-8289",
"fax_number": "203-905-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 BOYLSTON ST",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024672109",
"telephone_number": "860-657-8289",
"fax_number": "203-905-6824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URGENT CARE OF CHESTNUT HILL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-11",
"last_updated": "2016-05-03",
"status": "A",
"authorized_official_last_name": "KENKARE",
"authorized_official_first_name": "JEANNIE",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "203-885-0808",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.