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MHS PRIMARY CARE NPI 1710104625


NPI Information

NPI: 1710104625
Provider Name: MHS PRIMARY CARE

Doing Business As: GEORGE ROSENFELD, MD

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
270 MAIN ST
PORTLAND, CT
ZIP 06480
Phone: (860) 342-3392
Get Directions

MHS PRIMARY CARE is a family medicine in Portland, CT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MHS PRIMARY CARE NPI is 1710104625. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As George Rosenfeld, Md.

The provider's business location address is:

270 MAIN ST
PORTLAND, CT
ZIP 06480-857
Phone: (860) 342-3392
Fax: (860) 358-8658

The provider's authorized official is Susan Serkey .
The authorized official title is Practice Administrator and has the following contact phone number (860) 358-4802.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 9/8/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2207Q00000XFamily MedicineYes
3207R00000XInternal MedicineCONNECTICUTNo
4363A00000XPhysician AssistantNo
5363LF0000XNurse PractitionerFamilyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104173259MEDICAIDCONNECTICUT
2C02326MEDICARE PINCONNECTICUT

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

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