Avon Family Health, Llc

LBN: Avon Family Health, Llc
Avon Family Health, Llc is an health care organization with primary practice located at 30 W Avon Rd Suite D, Avon CT 06001-3678. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Avon Family Health, Llc can be contacted via phone (860) 675-6595, or through Leahy, Mary Elizabeth via phone (860) 675-6595.

Contact Information

Primary practice address
30 W Avon Rd Suite D Avon CT 06001-3678
Fax: (860) 673-6721
Website:
Authorized official contact:
Name: Leahy, Mary Elizabeth Advanced Practice Registered Nurse (APRN)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X Connecticut

Profile Details

NPI number 1497115380
LBN Legal business name Avon Family Health, Llc
DBA Doing business as
Authorized official Leahy, Mary Elizabeth Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 4th, 2016
Last updated Jul 20th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497115380 NPPES
Connecticut MEDICAID 004238003
Connecticut Other 11243173
Connecticut Other 1669496113
Connecticut Other 11000341
Connecticut Other D400060973
Connecticut Other 7327000
Connecticut Other 637238
Connecticut Other P4395587
Connecticut Other 1100341

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