| Woonsocket Urgent Care, Pc | |
|
1 Wrentham St Bellingham MA 02019-2532 | |
| (508) 318-4466 | |
| (508) 545-1445 |
| Full Name | Woonsocket Urgent Care, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Wrentham St, Bellingham, Massachusetts |
| Authorized Official Name and Position | Justin Mavromatis (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 5084885488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woonsocket Urgent Care, Pc 1 Wrentham St Bellingham MA 02019-2532 Ph: (508) 488-5488 | Woonsocket Urgent Care, Pc 1 Wrentham St Bellingham MA 02019-2532 Ph: (508) 318-4466 |
| NPI Number | 1437628385 |
|---|---|
| Provider Enumeration Date | 11/21/2018 |
| Last Update Date | 12/01/2025 |
| Medicare PECOS PAC ID | 1951305168 |
|---|---|
| Medicare Enrollment ID | O20190214001977 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437628385 | NPI | - | NPPES |
| 110074292B | Medicaid | MA | |
| P13237 | Other | MA | MEDICARE UPIN |
| 709004964 | Other | MA | MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Yusef M Haj Darwish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376597427 PECOS PAC ID: 6901838333 Enrollment ID: I20050907000599 |
| Provider Name | Erin Anne Hennigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790307825 PECOS PAC ID: 1456767748 Enrollment ID: I20210311001018 |
| Provider Name | Alicia M Giannotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215500293 PECOS PAC ID: 8022489392 Enrollment ID: I20230124002465 |
| Provider Name | Matthew Tufts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700572039 PECOS PAC ID: 1658717210 Enrollment ID: I20240306002046 |
| Provider Name | Amanda Lynn Boutin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205691029 PECOS PAC ID: 8325487051 Enrollment ID: I20240415002299 |
| Provider Name | Abigail Louise Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164264347 PECOS PAC ID: 4587103445 Enrollment ID: I20240823001774 |