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MHS PRIMARY CARE NPI 1538386420


NPI Information

NPI: 1538386420
Provider Name: MHS PRIMARY CARE

Doing Business As: CROMWELL FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 07D0933844

Address:
80 SHUNPIKE RD
SUITE 301
CROMWELL, CT
ZIP 06416
Phone: (860) 632-5570
Get Directions

MHS PRIMARY CARE is a family medicine in Cromwell, 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. MHS PRIMARY CARE NPI is 1538386420. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cromwell Family Practice.

The provider's business location address is:

80 SHUNPIKE RD
SUITE 301
CROMWELL, CT
ZIP 06416-401
Phone: (860) 632-5570
Fax: (860) 358-8650

The provider's authorized official is Susan Serkey .
The authorized official title is Network Executive and has the following contact phone number (860) 358-4802.

The CLIA number assigned to this NPI record is 07D0933844 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/20/2007 and was last updated on 1/20/2017.


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
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineCONNECTICUTNo
3363A00000XPhysician AssistantNo
4363LF0000XNurse PractitionerFamilyNo

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
1C02139MEDICARE PINCONNECTICUT
2C02187MEDICARE PINCONNECTICUT
3C02243MEDICARE PINCONNECTICUT
404173259MEDICAIDCONNECTICUT
5C02326MEDICARE PINCONNECTICUT

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: 11/14/2023

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