COMMUNITY HEALTH ASSOCIATES LLC NPI 1225571565

NPI Information

NPI: 1225571565
Provider Name: COMMUNITY HEALTH ASSOCIATES, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 07D2124218

Address:
153 S MAIN ST
NEWTOWN, CT
ZIP 06470
Phone: (203) 270-1077
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COMMUNITY HEALTH ASSOCIATES, LLC is a family nurse practitioner in Newtown, CT. COMMUNITY HEALTH ASSOCIATES, LLC NPI is 1225571565. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

153 S MAIN ST
NEWTOWN, CT
ZIP 06470-791
Phone: (203) 270-1077
Fax: (203) 426-2175

The provider's authorized official is Tammy L Fedsk .
The authorized official title is Financial Administrator and has the following contact phone number (203) 648-9182.

The CLIA number assigned to this NPI record is 07D2124218 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/18/2016 and was last updated on 11/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		006478	CONNECTICUT	No
2	363LF0000X	Nurse Practitioner	Family	002614	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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