PRIDE COMPREHENSIVE PRIMARY CARE LLC NPI 1699307751

NPI Information

  • NPI: 1699307751
  • Provider Name: PRIDE COMPREHENSIVE PRIMARY CARE LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 7 WARREN RD
    WOLCOTT, CT
    ZIP 06716
  • Phone: (414) 614-5832

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NPI Details

PRIDE COMPREHENSIVE PRIMARY CARE LLC is a primary care clinic center in Wolcott, CT. PRIDE COMPREHENSIVE PRIMARY CARE LLC NPI is 1699307751. The provider is registered as an organization entity type.

The provider's business location address is:

7 WARREN RD
WOLCOTT, CT
ZIP 06716-015
Phone: (414) 614-5832

The provider's authorized official is Jurg W. J. Oggenfuss .
The authorized official title is Chief Medical Officer and has the following contact phone number (414) 614-5832.

The enumeration date for this NPI number is 2/6/2020 and was last updated on 2/6/2020.

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
1261QP2300XClinic/CenterPrimary CareYes

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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