Pomfret Street Family Medicine
LBN: Physician Services Of Northeast Connecticut, Llc
Pomfret Street Family Medicine is an health care organization with primary practice located at 235 Pomfret St , Putnam CT 06260-1835. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Physician Services Of Northeast Connecticut, Llc can be contacted via phone (860) 928-0493, or through Smanik, Robert E via phone (860) 928-6541.
Contact Information
Primary practice address
235 Pomfret St
Putnam CT 06260-1835
Phone: (860) 928-0493
Fax: (860) 928-9255
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
NPI number | 1194966556 |
---|---|
LBN Legal business name | Physician Services Of Northeast Connecticut, Llc |
DBA Doing business as | Pomfret Street Family Medicine |
Authorized official | Smanik, Robert E |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Mar 16th, 2009 |
Last updated | Mar 16th, 2009 - about 16 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 | 1194966556 | NPPES |
Connecticut | MEDICAID | 1891962221 |
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