Prospect CT Medical Foundation, INC.
Family Medicine in Manchester, Connecticut
1144677568- Practice location
- 71 Haynes St, Miller Bldg., Floor G, Manchester, CT 06040-4131
- Phone
- 860-533-2981
- Fax
- 860-533-2975
- Last updated
- March 15, 2021
Prospect CT Medical Foundation, INC. is a healthcare organization based in Manchester, CT. Prospect CT Medical Foundation, INC. practices in Manchester, CT. The NPI Number for Prospect CT Medical Foundation, INC. is 1144677568. The current practice location address for Prospect CT Medical Foundation, INC. is 71 Haynes St, Miller Bldg., Floor G, Manchester, CT 06040-4131 and can be reached out via phone at 860-533-2981 and via fax at 860-533-2975.
Provider Profile Details
- NPI Number
- 1144677568
- Provider Name
- Prospect CT Medical Foundation, INC.
- Provider Entity Type
- Organization
- Address
- 71 Haynes St, Miller Bldg., Floor G, Manchester, CT 06040-4131
- Phone Number
- 860-533-2981
- Fax Number
- 860-533-2975
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Robert Jon Elders · Secretary · 714-788-1249
- Other Names
- Medical Group (Other Name)
- Provider Enumeration Date
- May 16, 2016
- Last Update Date
- March 15, 2021
- Certification Date
- March 15, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 71 Haynes St
Miller Bldg., Floor G
Manchester, CT 06040-4131 - City
- Manchester
- State
- Connecticut
- Zip
- 06040-4131
- Phone Number
- 860-533-2981
- Fax Number
- 860-533-2975
Provider Business Mailing Address Details
- Address
- 71 Haynes St
Miller Bldg., Floor G
Manchester, CT 06040-4131 - City
- Manchester
- State
- CT
- Zip
- 06040-4131
- Phone Number
- 860-533-2981
- Fax Number
- 860-533-2975
License Information
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (2)
- Marriage & Family Therapist · 106H00000X
- Taxonomy (3)
- Registered Nurse · 163W00000X
- Taxonomy (4)
- Internal Medicine · 207R00000X
- Taxonomy (5)
- Internal Medicine, Endocrinology, Diabetes & Metabolism · 207RE0101X
- Taxonomy (6)
- Internal Medicine, Gastroenterology · 207RG0100X
- Taxonomy (7)
- Obstetrics & Gynecology, Gynecologic Oncology · 207VX0201X
- Taxonomy (8)
- Orthopaedic Surgery · 207X00000X
- Taxonomy (9)
- Surgery · 208600000X
- Taxonomy (11)
- Thoracic Surgery (Cardiothoracic Vascular Surgery) · 208G00000X
- Taxonomy (12)
- Hospitalist · 208M00000X
- Taxonomy (13)
- Physician Assistant, Medical · 363AM0700X
- Taxonomy (14)
- Nurse Practitioner · 363L00000X
- Taxonomy (15)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Manchester, CT
View all Family Medicine providers in Manchester →- Arooba AlmasFamily Medicine · NPI 1831694553
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- Breakaway Health Services LLCFamily Medicine · NPI 1528777505
- Collaborative Natural Health Partners, LLCFamily Medicine · NPI 1396267126
- Dr. Brad Brooks, DOFamily Medicine · NPI 1194170076
- Dr. Jackson Chen, DOFamily Medicine · NPI 1710480892
Frequently Asked Questions
What is the NPI number of Prospect CT Medical Foundation, INC.?
The NPI number of Prospect CT Medical Foundation, INC. is 1144677568. It was assigned on May 16, 2016 and is currently active in the NPPES registry.
What is the specialty of Prospect CT Medical Foundation, INC.?
Prospect CT Medical Foundation, INC. is registered under the primary taxonomy Family Medicine (code 207Q00000X).
Where does Prospect CT Medical Foundation, INC. practice?
The practice location is 71 Haynes St, Miller Bldg., Floor G, Manchester, CT 06040-4131. The office can be reached at 860-533-2981 (phone) or 860-533-2975 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144677568 directly on the NPPES registry website.