Physician Services Of Northeast Ct, Llc
LBN: Physician Services Of Northeast
Physician Services Of Northeast Ct, Llc is an health care organization with primary practice located at 320 Pomfret St , Putnam CT 06260-1836. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Midwife, Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Physician Services Of Northeast can be contacted via phone (860) 928-6541, or through Vallee, Christine L via phone (860) 928-6541.
Contact Information
Primary practice address
320 Pomfret St
Putnam CT 06260-1836
Phone: (860) 928-6541
Fax: (860) 963-6450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X |
Profile Details
| NPI number | 1174809966 |
|---|---|
| LBN Legal business name | Physician Services Of Northeast |
| DBA Doing business as | Physician Services Of Northeast Ct, Llc |
| Authorized official | Vallee, Christine L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 25th, 2011 |
| Last updated | Oct 25th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174809966 | NPPES |
| Connecticut | MEDICAID | 008001905 |
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