Mount Moriah Medical Center, Llc

LBN: Mount Moriah Medical Center, Llc
Mount Moriah Medical Center, Llc is an health care organization with primary practice located at 435 Montauk Ave , New London CT 06320-4621. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mount Moriah Medical Center, Llc can be contacted via phone (860) 444-7400, or through Phillips, Harold via phone (860) 460-2183.

Contact Information

Primary practice address
435 Montauk Ave New London CT 06320-4621
Phone: (860) 444-7400
Fax: (860) 444-7401
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Harold Doctor of Medicine (MD)
Phone: (860) 460-2183

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1558308445
LBN Legal business name Mount Moriah Medical Center, Llc
DBA Doing business as
Authorized official Phillips, Harold Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Sep 4th, 2007 - about 19 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 1558308445 NPPES
Connecticut Other CH6914 RAILD ROAD MEDICARE GROUP

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