Thompson Medical Llc

LBN: Thompson Medical Llc
Thompson Medical Llc is an health care organization with primary practice located at 415 Riverside Dr , North Grosvenordale CT 06255-2165. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Thompson Medical Llc can be contacted via phone (860) 923-1190, or through Coderre, Lisa A via phone (860) 923-1181.

Contact Information

Primary practice address
415 Riverside Dr North Grosvenordale CT 06255-2165
Phone: (860) 923-1190
Fax: (860) 923-0134
Website:
Map and Directions
Authorized official contact:
Name: Coderre, Lisa A
Phone: (860) 923-1181

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36607; 36401 Connecticut

Profile Details

NPI number 1750783619
LBN Legal business name Thompson Medical Llc
DBA Doing business as
Authorized official Coderre, Lisa A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2014
Last updated Aug 17th, 2023 - about 3 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 1750783619 NPPES
Connecticut MEDICAID 1364017
Connecticut MEDICAID 1366071

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