Priority Family Healthcare Of Northeast Connecticut, Llc
LBN: Priority Family Healthcare Of Northeast Connecticut, Llc
Priority Family Healthcare Of Northeast Connecticut, Llc is an health care organization with primary practice located at 353 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.
Priority Family Healthcare Of Northeast Connecticut, Llc can be contacted via phone (860) 928-1111, or through Fattaleh, Raja via phone (860) 928-1111.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 038188 | Connecticut |
Profile Details
| NPI number | 1720391311 |
|---|---|
| LBN Legal business name | Priority Family Healthcare Of Northeast Connecticut, Llc |
| DBA Doing business as | |
| Authorized official | Fattaleh, Raja Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 23rd, 2010 |
| Last updated | Jan 15th, 2015 - about 9 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 | 1720391311 | NPPES |
| Connecticut | MEDICAID | 001381889 |
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