URGENT CARE MEDICAL ASSOCIATES LLC NPI 1730479254

NPI Information

NPI: 1730479254
Provider Name: URGENT CARE MEDICAL ASSOCIATES, LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
31 OLD ROUTE 7
BROOKFIELD, CT
ZIP 06804
Phone: (203) 885-0808
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URGENT CARE MEDICAL ASSOCIATES, LLC is an urgent care clinic center in Brookfield, CT. URGENT CARE MEDICAL ASSOCIATES, LLC NPI is 1730479254. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

31 OLD ROUTE 7
BROOKFIELD, CT
ZIP 06804-711
Phone: (203) 885-0808
Fax: (203) 885-0813

The provider's authorized official is Jeannie M Kenkare .
The authorized official title is Managing Member and has the following contact phone number (203) 616-4440.

The enumeration date for this NPI number is 4/18/2011 and was last updated on 12/20/2022.

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	Primary
1	207P00000X	Emergency Medicine		No
2	207Q00000X	Family Medicine		No
3	207R00000X	Internal Medicine		No
4	208000000X	Pediatrics		No
5	363A00000X	Physician Assistant		No
6	363AM0700X	Physician Assistant	Medical	No
7	363AS0400X	Physician Assistant	Surgical	No
8	363L00000X	Nurse Practitioner		No
9	363LF0000X	Nurse Practitioner	Family	No
10	363LP2300X	Nurse Practitioner	Primary Care	No
11	261QU0200X	Clinic/Center	Urgent Care	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
1	008049245	MEDICAID	CONNECTICUT
2	008049195	MEDICAID	CONNECTICUT
3	008049246	MEDICAID	CONNECTICUT
4	008056635	MEDICAID	CONNECTICUT

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: 5/5/2024

NPI Synchronization or Removal

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