CLL HEALTH CARE CLINIC, LLC


Address: 527 W Thames St, Unit 23, Norwich, CT 06360-7153
Phone: 2032717089

CLL HEALTH CARE CLINIC, LLC (NPI# 1104245794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104245794
Entity Type Organization
Organization Name CLL HEALTH CARE CLINIC, LLC
Practice Address 527 W Thames St
Unit 23
Norwich
CT 06360-7153
Practice Telephone 2032717089
Mailing Telephone 2032717089
Enumeration Date 2014-04-10
Last Update Date 2014-04-10
Authorized Official Name DR. ZHENXIANG LIU (M.D.)
Authorized Official Telephone 2032717089
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
048768 CT Ambulatory Health Care Facilities

Office Location

Street Address 527 W THAMES ST
UNIT 23
City NORWICH
State CT
Zip Code 06360-7153

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1265895726 Katie Johnson Social Worker 18 Oneco Street, Norwich, CT 06360 2016-04-01
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1962746537 Robin B Smith Social Worker 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 2012-11-20
1063766400 Colleen Ellen Phillips-white Social Worker 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 2012-11-07
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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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1700133527 City of Hartford Clinic/Center 131 Coventry St., Hartford, CT 06112-1548 2012-08-10
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1871626846 Milford Council On Aging Clinic/Center 9 Jepson Drive, Milford, CT 06460 2007-03-13
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1508161720 Cornell Scott Hill Health Corporation Clinic/Center 428 Columbus Ave, Internal Medicine, New Haven, CT 06519-1233 2011-01-19
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Competitor

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City NORWICH
Zip Code 06360

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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