Provider Demographics
NPI:1902157746
Name:URGENT CARE SPECIALISTS, P.C.
Entity Type:Organization
Organization Name:URGENT CARE SPECIALISTS, P.C.
Other - Org Name:URGENT CARE OF WILBRAHAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:L
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:508-829-3808
Mailing Address - Street 1:5 SHREWSBURY ST STE D
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:MA
Mailing Address - Zip Code:01520-1960
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2040 BOSTON RD STE 5
Practice Address - Street 2:
Practice Address - City:WILBRAHAM
Practice Address - State:MA
Practice Address - Zip Code:01095-1380
Practice Address - Country:US
Practice Address - Phone:413-599-3800
Practice Address - Fax:413-279-1900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-19
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA56480OtherHNE
MA110094755AMedicaid
MA6769740001OtherDMEPOS
MAV23616OtherNETWORK HEALTH
MA0029575OtherMEDICARE PTAN
MA843159OtherTUFTS
MAAA289049OtherHPHC
MADT8769OtherRRMC
MAUC0027OtherBCBSMA