| Equitablecare4u Urgent Care Center, PLLC | |
|
715 Washington St Unit B Canton MA 02021-3037 | |
| (978) 412-3247 | |
| Not Available |
| Full Name | Equitablecare4u Urgent Care Center, PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 715 Washington St Unit B, Canton, Massachusetts |
| Authorized Official Name and Position | Charlene Charisse Hollins (NURSE PRACTITIONER) |
| Authorized Official Contact | 9782220024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Equitablecare4u Urgent Care Center, PLLC 715b Washington St Canton MA 02021-3037 Ph: (978) 222-0024 | Equitablecare4u Urgent Care Center, PLLC 715 Washington St Unit B Canton MA 02021-3037 Ph: (978) 412-3247 |
| NPI Number | 1538914494 |
|---|---|
| Provider Enumeration Date | 04/23/2024 |
| Last Update Date | 08/29/2025 |
| Certification Date | 08/29/2025 |
| Medicare PECOS PAC ID | 9032657390 |
|---|---|
| Medicare Enrollment ID | O20240817000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538914494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Charlene Charisse Hollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174084842 PECOS PAC ID: 5496180770 Enrollment ID: I20200114002794 |
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