Mashantucket Pequot Tribal Council

LBN: Mashantucket Pequot Tribal Council
Mashantucket Pequot Tribal Council is an health care organization with primary practice located at 75 Route 2 , Ledyard CT 06339-1128. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mashantucket Pequot Tribal Council can be contacted via phone (860) 312-8000, or through Reels, Shanna Tari via phone (860) 312-8014.

Contact Information

Primary practice address
75 Route 2 Ledyard CT 06339-1128
Phone: (860) 312-8000
Fax: (860) 312-8001
Website:
Map and Directions
Authorized official contact:
Name: Reels, Shanna Tari
Phone: (860) 312-8014

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1508140922
LBN Legal business name Mashantucket Pequot Tribal Council
DBA Doing business as
Authorized official Reels, Shanna Tari
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2011
Last updated Sep 9th, 2014 - about 11 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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