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MOHEGAN TRIBE OF INDIANS OF CONNECTICUT NPI 1467442863


NPI Information

NPI: 1467442863
Provider Name: MOHEGAN TRIBE OF INDIANS OF CONNECTICUT

Former Legal Business Name: MOHEGAN TRIBAL COUNCIL

Classification: Ambulance - 341600000X
Entity Type: Organization
Address:
13 CROW HILL RD
UNCASVILLE, CT
ZIP 06382
Phone: (860) 862-6110
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MOHEGAN TRIBE OF INDIANS OF CONNECTICUT is an ambulance in Uncasville, CT. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). MOHEGAN TRIBE OF INDIANS OF CONNECTICUT NPI is 1467442863. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Mohegan Tribal Council.

The provider's business location address is:

13 CROW HILL RD
UNCASVILLE, CT
ZIP 06382-118
Phone: (860) 862-6110
Fax: (860) 862-6140

The provider's authorized official is Mary T Gentile .
The authorized official title is Authorized Agent and has the following contact phone number (860) 257-9201.

The enumeration date for this NPI number is 10/26/2005 and was last updated on 6/19/2019.


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
1341600000XAmbulanceC086P1Yes

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
1004185428MEDICAIDCONNECTICUT
2590012782OTHERRAILROAD MEDICARE

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.