MHS PRIMARY CARE NPI 1639399959

NPI Information

  • NPI: 1639399959
  • Provider Name: MHS PRIMARY CARE
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 07D0927839
  • Address: 520 SAYBROOK RD
    SUITE N100
    MIDDLETOWN, CT
    ZIP 06457
  • Phone: (860) 344-1801

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NPI Details

MHS PRIMARY CARE is a family medicine in Middletown, 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 1639399959. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

520 SAYBROOK RD
SUITE N100
MIDDLETOWN, CT
ZIP 06457-700
Phone: (860) 344-1801
Fax: (860) 358-8657

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

The CLIA number assigned to this NPI record is 07D0927839 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1004181343MEDICAIDCONNECTICUT
2004173259MEDICAIDCONNECTICUT
3C02139MEDICARE PINCONNECTICUT
4C02243MEDICARE PINCONNECTICUT
5C02326MEDICARE PINCONNECTICUT
6C02187MEDICARE 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: 11/21/2025

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