Premier Medical Care Llc

LBN: Premier Medical Care Llc
Premier Medical Care Llc is an health care organization with primary practice located at 340 Broad St Suite 100, Windsor CT 06095-3030. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Premier Medical Care Llc can be contacted via phone (860) 587-7170, or through Memon, Mohammed A via phone (860) 587-7170.

Contact Information

Primary practice address
340 Broad St Suite 100 Windsor CT 06095-3030
Phone: (860) 587-7170
Fax: (860) 580-7177
Website:
Map and Directions
Authorized official contact:
Name: Memon, Mohammed A Doctor of Medicine (MD)
Phone: (860) 587-7170

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1679974521
LBN Legal business name Premier Medical Care Llc
DBA Doing business as
Authorized official Memon, Mohammed A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2014
Last updated Sep 10th, 2014 - about 10 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 1679974521 NPPES
Connecticut MEDICAID 001425885

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