Organization · NPI-2

Conncare INC

Internal Medicine · Colchester, CT

NPI number1700962040

StatusActive

Last updated in NPPESJul 19, 2012

Details

NPI: 1700962040
Entity type: Organization (NPI-2)
Legal business name: Conncare INC
Organization subpart: No
Enumeration date: Oct 30, 2006
Last updated: Jul 19, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes
261QP2300X	Clinic/Center, Primary Care	–	–
207Q00000X	Family Medicine	–	–
363L00000X	Nurse Practitioner	–	–

Other names

Backus Health Centers (Other Name)

Practice location

163 Broadway St
Colchester, CT 06415-1022

Phone 860-537-4601 · Fax 860-537-6935

Mailing address

112 Lafayette St
Norwich, CT 06360-2737

Phone 860-425-8715 · Fax 860-425-8707

Authorized official

Daniel Lohr
Vice President
8608898331

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