GENESIS MEDICA URGENT CARE GROUP LLC NPI 1710497607

NPI Information

NPI: 1710497607
Provider Name: GENESIS MEDICA URGENT CARE GROUP LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
1427 CHAPEL ST
NEW HAVEN, CT
ZIP 06511
Phone: (203) 865-3880
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GENESIS MEDICA URGENT CARE GROUP LLC is an urgent care clinic center in New Haven, CT. GENESIS MEDICA URGENT CARE GROUP LLC NPI is 1710497607. The provider is registered as an organization entity type.

The provider's business location address is:

1427 CHAPEL ST
NEW HAVEN, CT
ZIP 06511-403
Phone: (203) 865-3880

The provider's authorized official is Terry Choszczyk .
The authorized official title is Manager and has the following contact phone number (203) 865-3880.

The enumeration date for this NPI number is 10/4/2017 and was last updated on 6/16/2018.

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
1	261QU0200X	Clinic/Center	Urgent Care	036883	CONNECTICUT	Yes

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
1	1912927658	OTHER	CONNECTICUT	INDIVIDUAL NPI

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

NPI Synchronization or Removal

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