THOMPSON MEDICAL CENTER LLC NPI 1013136019

NPI Information

  • NPI: 1013136019
  • Provider Name: THOMPSON MEDICAL CENTER LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 07D0964167
  • Address: 415 RIVERSIDE DR
    SUITE 1
    NORTH GROSVENORDALE, CT
    ZIP 06255
  • Phone: (860) 923-1181

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NPI Details

THOMPSON MEDICAL CENTER LLC is a family medicine in North Grosvenordale, 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. THOMPSON MEDICAL CENTER LLC NPI is 1013136019. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

415 RIVERSIDE DR
SUITE 1
NORTH GROSVENORDALE, CT
ZIP 06255-165
Phone: (860) 923-1181
Fax: (860) 923-1822

The provider's authorized official is Nita Chatterjee .
The authorized official title is President and has the following contact phone number (860) 923-1181.

The CLIA number assigned to this NPI record is 07D0964167 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 9/19/2007.

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
1207Q00000XFamily MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C02585MEDICARE PINCONNECTICUT
2004221587MEDICAIDCONNECTICUT

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: 11/21/2025

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