Medical Center Of Northeast Connecticut

LBN: Medical Center Of Northeast Connecticut
Medical Center Of Northeast Connecticut is an health care organization with primary practice located at 612 Hartford Pike , Dayville CT 06241-2159. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Medical Center Of Northeast Connecticut can be contacted via phone (860) 779-0284, or through Matty, Paul J via phone (860) 779-0284.

Contact Information

Primary practice address
612 Hartford Pike Dayville CT 06241-2159
Phone: (860) 779-0284
Fax: (860) 779-0386
Website:
Map and Directions
Authorized official contact:
Name: Matty, Paul J Doctor of Medicine (MD)
Phone: (860) 779-0284

Health care specialties

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

Profile Details

NPI number 1194915314
LBN Legal business name Medical Center Of Northeast Connecticut
DBA Doing business as
Authorized official Matty, Paul J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2007
Last updated Sep 3rd, 2008 - about 18 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 1194915314 NPPES
Connecticut MEDICAID 001172865
Connecticut MEDICAID 001367178
Connecticut MEDICAID 001292490
Connecticut MEDICAID 001413476
Connecticut MEDICAID 001228592
Connecticut MEDICAID 001295006

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