ENFIELD AMBULATORY CARE CENTER LLC; NPI #1922183268

Contact Information

ENFIELD AMBULATORY CARE CENTER LLC

15 PALOMBA DRIVE
ENFIELD, CT 06082

Phone: 860-745-1684
Fax: 860-741-5228
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
General Practice	208D00000X	99	Physician/Undefined Physician type[6]
Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for ENFIELD AMBULATORY CARE CENTER LLC

NPI # 1922183268

LBN Legal business name ENFIELD AMBULATORY CARE CENTER LLC

Authorized official ALFREDO ARBULU - (MEMBER OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/26/2006

Last updated 09/11/2025 - About 9 months ago

Identifiers

CT	License #	0039
	Other	991094	CONNECTICARE
CT	Other	68WLKN003CT01	ANTHEM BCBS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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