MASHANTUCKET PEQUOT TRIBAL COUNCIL is a family medicine in Ledyard, 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. MASHANTUCKET PEQUOT TRIBAL COUNCIL NPI is 1508140922. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
75 ROUTE 2
LEDYARD, CT
ZIP 06339-128
Phone: (860) 312-8000
Fax: (860) 312-8001
The provider's authorized official is Shanna Tari Reels .
The authorized official title is Tribal Health Services Director and has the following contact phone number (860) 312-8014.
The CLIA number assigned to this NPI record is 07D0968602 - rural health clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/4/2011 and was last updated on 5/16/2014.