CONNECTICUT URGENT CARE CENTERS, LLC (NPI# 1295151934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295151934 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT URGENT CARE CENTERS, LLC |
| Other Organization Name | CONNECTICUT URGENT CARE CENTERS |
| Practice Address |
136 Berlin Rd Cromwell CT 06416-2627 |
| Practice Telephone | 8603788585 |
| Practice Fax Number | 8603788586 |
| Mailing Telephone | 8603788585 |
| Mailing Fax Number | 8603788586 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | LINDA K GALLACHER (ADMINISTRATOR) |
| Authorized Official Telephone | 8603788585 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 0739 | CT | Ambulatory Health Care Facilities |
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
CT | Ambulatory Health Care Facilities | |
| N | 207P00000X | Emergency Medicine | CT | Allopathic & Osteopathic Physicians | |
| N | 207R00000X | Internal Medicine | CT | Allopathic & Osteopathic Physicians | |
| N | 363L00000X | Nurse Practitioner | CT | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363A00000X | Physician Assistant | CT | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CLIA | 07D2075714 | 01 |
| CT | MEDICARE GROUP PTAN | D100187528 | 01 |
| CT | 008056570 | 05 |
| Other Name | Type Code |
|---|---|
| Connecticut Urgent Care Centers | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CONNECTICUT URGENT CARE CENTERS, LLC | 43 Banbury Lane, West Hartford, CT 06107 |
| Street Address |
136 BERLIN RD |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555787 | Raymond L D'amato | Internal Medicine | 136 Berlin Rd, Suite 102, Cromwell, CT 06416-2627 | 2005-06-01 |
| 1982085270 | Nova Dental North LLC | Dentist | 136 Berlin Rd, Cromwell, CT 06416-2627 | 2015-06-12 |
| 1639587793 | Nicholas Edward Mccool | Physical Therapist | 136 Berlin Rd, Cromwell, CT 06416-2627 | 2014-07-31 |
| 1972872554 | Anita Velta Grinevics | Dietitian, Registered | 136 Berlin Rd, Cromwell, CT 06416-2627 | 2011-12-28 |
| 1689819112 | Phoebe C.m. Romero | Physician Assistant | 136 Berlin Rd, Cromwell, CT 06416-2627 | 2008-12-12 |
| 1437296423 | Robert Alan Breault | Dentist | 136 Berlin Rd, Cromwell, CT 06416-2627 | 2007-01-31 |
| 1043357825 | Cromwell Family Dental, PC | Dentist | 136 Berlin Rd, Cromwell, CT 06416-2627 | 2007-01-31 |
| 1578609145 | Jeffrey Joseph Scull | Dentist | 136 Berlin Rd, Cromwell, CT 06416-2627 | 2007-01-30 |
| 1508800806 | Marta J Kroo | Family Medicine | 136 Berlin Rd, Cromwell, CT 06416-2627 | 2006-06-16 |
| 1255333597 | New England Home Care Inc. | Case Management | 136 Berlin Rd, Cromwell, CT 06416-2627 | 2005-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469626 | Anjali Rowe | Developmental Therapist | 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 | 2019-10-28 |
| 1366938110 | Katherine Sluti | Developmental Therapist | 162 West St., Building 2 Suite F, Cromwell, CT 06416 | 2018-07-05 |
| 1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
| 1952826828 | Marlene Dejesus | Developmental Therapist | 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 | 2017-08-11 |
| 1689199895 | Amanda Marie Mimande | Developmental Therapist | 162 West Street, Building 2, Suite F, Cromwell, CT 06416 | 2017-08-08 |
| 1912260357 | Ulrich Klaus Rathey | Internal Medicine | 2316 Cromwell Hills Drive, Cromwell, CT 06416 | 2012-06-20 |
| 1801171616 | Leonard J Zgorski | Pharmacist | 4 Hammerhead Place, Cromwell, CT 06416 | 2011-10-13 |
| 1396024725 | Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 | 2011-08-16 |
| 1508090028 | Giovanna Maria Cammuso | Social Worker | 22 Tuttle Road, Cromwell, CT 06416 | 2009-05-12 |
| 1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
| Find all providers in zip 06416 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366804452 | Ct Men's Health, LLC | General Practice | 154 West St, Suite A, Cromwell, CT 06416-4400 | 2016-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669029773 | Medexpress Primary Care Texas, P.a. | General Practice | 185 Asylum Street, City Place 1, Hartford, CT 06103-3408 | 2019-08-22 |
| 1225510571 | David Warren Boxwell | General Practice | 67 Church St., Suite 300, Norwich, CT 06360-0636 | 2018-09-04 |
| 1407234685 | Adrian Kenneth Wyllie | General Practice | 4 Research Pkwy, Wallingford, CT 06492-1929 | 2015-05-08 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| 1528300191 | Theodore Herbert Johnson | General Practice | 141 S Mountain Dr, New Britain, CT 06052-1511 | 2013-03-21 |
| 1811237142 | Jose Buhain | General Practice | 19 Judson Ave Apt 5d, Woodbury, CT 06798-2844 | 2013-02-23 |
| 1548520661 | Cynthia Zywocinski | General Practice | 92 Everit St, New Haven, CT 06511-1321 | 2012-05-23 |
| 1093071631 | Roger Joseph Branson | General Practice | 12 Woodcreek Rd, Bethlehem, CT 06751-1705 | 2012-04-09 |
| 1427323401 | Kevin David Wolter | General Practice | 43 Oxford Ct, Mystic, CT 06355-1705 | 2012-03-09 |
| 1144590191 | Richard John Annulli | General Practice | 1037 Valley Rd, New Canaan, CT 06840-2818 | 2012-01-09 |
| Find all providers with the same taxonomy | ||||
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| 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.