GENERATIONS FAMILY HEALTH CENTER, INC. (NPI# 1447415815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447415815 |
Entity Type | Organization |
Organization Name | GENERATIONS FAMILY HEALTH CENTER, INC. |
Practice Address |
330 Washington St Ste 510 Norwich CT 06360-2700 |
Mailing Address |
330 Washington St Suite 510 Norwich CT 06360-2700 |
Practice Telephone | 8604507471 |
Mailing Telephone | 8608851308 |
Enumeration Date | 2008-07-24 |
Last Update Date | 2012-04-18 |
Authorized Official Name | MR. ARVIND SHAW (CEO) |
Authorized Official Telephone | 8604507471 |
Is Organization Subpart | Y |
Parent Organization Name | GENERATIONS FAMILY HEALTH CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QH0100X |
Clinic/Center Specialization: Health Service |
0321 | CT | Ambulatory Health Care Facilities |
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
0321 | CT | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346228905 | Generations Family Health Center, Inc. | Clinic/Center | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2006-01-04 |
1164759015 | Generations Family Health Center, Inc. | Clinic/Center | 322 Main St, Willimantic, CT 06226-3152 | 2009-11-13 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | GENERATIONS FAMILY HEALTH CENTER, INC. | 40 Mansfield Ave., Willimantic, CT 06226 |
Street Address |
330 WASHINGTON ST STE 510 |
City | NORWICH |
State | CT |
Zip Code | 06360-2700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447247788 | Olimpia A Radu | Internal Medicine | 330 Washington St, Ste 430, Norwich, CT 06360-2700 | 2005-10-03 |
1912458704 | Allan Dierman | Nurse Practitioner | 330 Washington St, Suite 510, Norwich, CT 06360-2700 | 2016-10-17 |
1528467016 | Lisa Decarlo | Nurse Practitioner | 330 Washington St, Suite 510, Norwich, CT 06360-2700 | 2014-08-20 |
1952700197 | Maura Theresa Forte | Nurse Practitioner | 330 Washington St, Suite 510, Norwich, CT 06360-2700 | 2014-08-13 |
1497012520 | Erin Marie Loughery | Nurse Practitioner | 330 Washington St, Suite 350, Norwich, CT 06360-2700 | 2012-04-13 |
1003047481 | Melody Mukon | Physician Assistant | 330 Washington St, Suite 220, Norwich, CT 06360-2700 | 2009-08-03 |
1306083142 | Eastern Connecticut Neurosurgery, P.C. | Neurological Surgery | 330 Washington St, Suite 540, Norwich, CT 06360-2700 | 2009-01-15 |
1801032784 | Ct Podiatry & Foot Surgery, LLC | Podiatrist | 330 Washington St, Suite 310, Norwich, CT 06360-2700 | 2008-12-26 |
1700042900 | Joanne Cantor Friedman | Nurse Practitioner | 330 Washington St, Suite 350, Norwich, CT 06360-2700 | 2008-08-06 |
1265693931 | Priya Bakaya | Internal Medicine | 330 Washington St, Ste 430, Norwich, CT 06360-2700 | 2008-06-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
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 |
Find all providers in zip 06360 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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.