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Contact Information

INHEALTH MED CT, PC
14 QUARRY ST
WILLIMANTIC, CT06226
 Phone: 860-423-8020
 Fax: 860-456-8288
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for INHEALTH MED CT, PC

NPI Number 1134250541
LBN Legal business name INHEALTH MED CT, PC
Authorized official EDMUND WEST - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2007
Last updated 09/06/2018 - About 8 years ago
Identifiers
CT License # 001754
CT License # 019026
CT Medicaid 004201141
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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