Organization · NPI-2
Premier Healthcare Services Of Connecticut LLC
Clinic/Center, Urgent Care · Newington, CT
NPI number1336494830
StatusActive
Last updated in NPPESFeb 5, 2014
Details
- NPI
- 1336494830
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Healthcare Services Of Connecticut LLC
- Organization subpart
- No
- Enumeration date
- Jul 20, 2012
- Last updated
- Feb 5, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
| 207P00000X | Emergency Medicine | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | CT |
Other names
- Premier Urgent Care (Doing Business As)
Practice location
2909 Berlin TpkeNewington, CT 06111-4115
Phone 860-436-3757 · Fax 860-436-9622
Mailing address
2909 Berlin TpkeNewington, CT 06111-4115
Phone 860-436-3757 · Fax 860-436-9622
Authorized official
Lawrence Levine
Owner/ Urgent Care Physician
8604363757
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