URGENT CARE OF WATERBURY LLC NPI 1336519537

NPI Information

NPI: 1336519537
Provider Name: URGENT CARE OF WATERBURY, LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
31 OLD ROUTE 7
BROOKFIELD, CT
ZIP 06804
Phone: (203) 885-0808
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URGENT CARE OF WATERBURY, LLC is an urgent care clinic center in Brookfield, CT. URGENT CARE OF WATERBURY, LLC NPI is 1336519537. The provider is registered as an organization entity type.

The provider's business location address is:

31 OLD ROUTE 7
BROOKFIELD, CT
ZIP 06804-711
Phone: (203) 885-0808
Fax: (203) 885-0813

The provider's authorized official is Jeannie M Kenkare .
The authorized official title is Cmo and has the following contact phone number (203) 885-0808.

The enumeration date for this NPI number is 9/30/2015 and was last updated on 9/30/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

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
1	008049246	MEDICAID	CONNECTICUT
2	008049245	MEDICAID	CONNECTICUT
3	008058210	MEDICAID	CONNECTICUT
4	008056635	MEDICAID	CONNECTICUT
5	D100052876	MEDICARE PIN	CONNECTICUT
6	008049195	MEDICAID	CONNECTICUT

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: 5/5/2024

NPI Synchronization or Removal

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