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STONY CREEK URGENT CARE CENTER LLC NPI 1992969364


NPI Information

NPI: 1992969364
Provider Name: STONY CREEK URGENT CARE CENTER, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
6 BUSINESS PARK DR
SUITE 302
BRANFORD, CT
ZIP 06405
Phone: (203) 483-4580
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STONY CREEK URGENT CARE CENTER, LLC is a general practice in Branford, CT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee STONY CREEK URGENT CARE CENTER, LLC NPI is 1992969364. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6 BUSINESS PARK DR
SUITE 302
BRANFORD, CT
ZIP 06405-988
Phone: (203) 483-4580
Fax: (203) 483-4581

The provider's authorized official is David J Young .
The authorized official title is Managing Member and has the following contact phone number (203) 483-4580.

The enumeration date for this NPI number is 7/15/2008 and was last updated on 2/24/2015.


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
1207P00000XEmergency MedicineNo
2207R00000XInternal MedicineNo
3208000000XPediatricsNo
4261QU0200XClinic/CenterUrgent CareNo
5363LF0000XNurse PractitionerFamilyNo
6208D00000XGeneral PracticeYes

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
1D100000134OTHERMEDICARE PTAN
268WLKN042CT02OTHERCONNECTICUTANTHEMBCBS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.