OrganizationActive
East Side Urgent Care LLC
NPI 1558531467 · Urgent Care Clinic/Center · Providence, RI
Provider details
- NPI number
- 1558531467
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Julie Hetrick, Nurse Manager(401) 578-8836
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1195 N Main St
Providence, RI 02904-1824
Phone: (401) 861-3782
Street-level locationGet directions
Mailing address
1195 N Main St
Providence, RI 02904-1824
Registry dates
- Enumerated
- 2008-03-06
- Last updated
- 2008-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.