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GROUND FORCE MEDICINE LLC NPI 1992264006


NPI Information

NPI: 1992264006
Provider Name: GROUND FORCE MEDICINE LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
80 SHUNPIKE RD UNIT 101
CROMWELL, CT
ZIP 06416
Phone: (203) 293-7293
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GROUND FORCE MEDICINE LLC is a medical specialty clinic center in Cromwell, CT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). GROUND FORCE MEDICINE LLC NPI is 1992264006. The provider is registered as an organization entity type.

The provider's business location address is:

80 SHUNPIKE RD UNIT 101
CROMWELL, CT
ZIP 06416-402
Phone: (203) 293-7293

The provider's authorized official is Sara Frawley .
The authorized official title is Sole Member and has the following contact phone number (203) 293-7293.

The enumeration date for this NPI number is 3/18/2019 and was last updated on 3/18/2019.


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
1261QM2500XClinic/CenterMedical SpecialtyYes

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
11659822369OTHERINDIVIDUAL 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: 5/5/2024

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