Mhs Primary Care INC.
Internal Medicine in Clinton, CT. Organization (NPI-2).
NPI number1760880595
StatusActive
Last updated in NPPESDec 10, 2014
Details
- NPI
- 1760880595
- Entity type
- Organization (NPI-2)
- Legal business name
- Mhs Primary Care INC.
- Organization subpart
- No
- Enumeration date
- Dec 10, 2014
- Last updated
- Dec 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | CT | Yes |
| 207Q00000X | Family Medicine | – | CT | |
| 363A00000X | Physician Assistant | – | CT | |
| 363LF0000X | Nurse Practitioner, Family | – | CT |
Practice location
27 Commerce StClinton, CT 06413-2054
Phone 860-669-8659 · Fax 860-669-4382
Mailing address
28 Crescent StMiddletown, CT 06457-3654
Phone 860-358-4820 · Fax 860-358-8661
Authorized official
Susan Serkey
Network Executive
8603584802
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