South Windsor Ambulatory Care Ctr Inc

LBN: South Windsor Ambulatory Care Ctr Inc
South Windsor Ambulatory Care Ctr Inc is an health care organization with primary practice located at 2800 Tamarack Avenue Suite 105, South Windsor CT 06074-5539. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty. South Windsor Ambulatory Care Ctr Inc can be contacted via phone (860) 644-3491, or through Petrone, Barbara M via phone (860) 644-3491.

Contact Information

Primary practice address
2800 Tamarack Avenue Suite 105 South Windsor CT 06074-5539
Phone: (860) 644-3491
Fax: (860) 644-5744
Website:
Map and Directions
Authorized official contact:
Name: Petrone, Barbara M RTR
Phone: (860) 644-3491

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 024303 Connecticut
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 24303 Connecticut

Profile Details

NPI number 1760408835
LBN Legal business name South Windsor Ambulatory Care Ctr Inc
DBA Doing business as
Authorized official Petrone, Barbara M RTR
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated May 19th, 2008 - about 17 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 1760408835 NPPES
Connecticut Other 010024303CT01 BLUE SHIELD OF CT
Connecticut Other 1751515 BLUE SHIELD OF CT
Connecticut Other 704554 BLUE SHIELD OF CT
Connecticut Other 80705 BLUE SHIELD OF CT
Connecticut Other 7294618 BLUE SHIELD OF CT
Connecticut Other 0V0438 BLUE SHIELD OF CT
Connecticut Other 514837 BLUE SHIELD OF CT
Connecticut Other P3592661 BLUE SHIELD OF CT
Connecticut MEDICAID 004263612 BLUE SHIELD OF CT
Connecticut Other 427750 BLUE SHIELD OF CT

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