Provider Type Icon

CONNECTICUT URGENT CARE CENTERS LLC NPI 1295151934


NPI Information

NPI: 1295151934
Provider Name: CONNECTICUT URGENT CARE CENTERS, LLC

Doing Business As: CONNECTICUT URGENT CARE CENTERS

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 07D2224961

Address:
136 BERLIN RD
CROMWELL, CT
ZIP 06416
Phone: (860) 378-8585
Get Directions

CONNECTICUT URGENT CARE CENTERS, LLC is a general practice in Cromwell, 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 CONNECTICUT URGENT CARE CENTERS, LLC NPI is 1295151934. The provider is registered as an organization entity type.
The provider Is Doing Business As Connecticut Urgent Care Centers.

The provider's business location address is:

136 BERLIN RD
CROMWELL, CT
ZIP 06416-627
Phone: (860) 378-8585
Fax: (860) 378-8586

The provider's authorized official is Linda K Gallacher .
The authorized official title is Administrator and has the following contact phone number (860) 378-8585.

The CLIA number assigned to this NPI record is 07D2224961 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2014 and was last updated on 5/26/2015.


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
1261Q00000XClinic/Center0739CONNECTICUTNo
2261QU0200XClinic/CenterUrgent CareCONNECTICUTNo
3207P00000XEmergency MedicineCONNECTICUTNo
4207R00000XInternal MedicineCONNECTICUTNo
5363L00000XNurse PractitionerCONNECTICUTNo
6363A00000XPhysician AssistantCONNECTICUTNo
7208D00000XGeneral 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
107D2075714OTHERCONNECTICUTCLIA
2008056570MEDICAIDCONNECTICUT
3D100187528OTHERCONNECTICUTMEDICARE GROUP PTAN

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.