Active NPIOrganization

Prime Healthcare, PC

Internal Medicine in Wethersfield, Connecticut

NPI Number1184819302
Practice location
30 Jordan Ln, Wethersfield, CT 06109-1278
Fax
860-263-0262
Last updated
August 3, 2015

Prime Healthcare, PC is a healthcare organization based in Wethersfield, CT. Prime Healthcare, PC practices in Wethersfield, CT. The NPI Number for Prime Healthcare, PC is 1184819302 and holds a License No. 54316 (CT). The current practice location address for Prime Healthcare, PC is 30 Jordan Ln, Wethersfield, CT 06109-1278 and can be reached out via phone at 860-263-0253 and via fax at 860-263-0262.

Provider Profile Details

NPI Number
1184819302
Provider Name
Prime Healthcare, PC
Provider Entity Type
Organization
Address
30 Jordan Ln, Wethersfield, CT 06109-1278
Phone Number
860-263-0253
Fax Number
860-263-0262
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Susan Albano · Ceo · 860-263-0253
Provider Enumeration Date
September 11, 2007
Last Update Date
August 3, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Jordan Ln
Wethersfield, CT 06109-1278
Zip
06109-1278
Phone Number
860-263-0253
Fax Number
860-263-0262
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
30 Jordan Ln
Wethersfield, CT 06109-1278
City
Wethersfield
State
CT
Zip
06109-1278
Phone Number
860-263-0253
Fax Number
860-263-0262

License Information

Taxonomy (3)
Internal Medicine, Gastroenterology · 207RG0100X
Taxonomy (4)
Internal Medicine, Geriatric Medicine · 207RG0300X
Taxonomy (5)
Internal Medicine, Pulmonary Disease · 207RP1001X
Taxonomy (6)
Hospitalist · 208M00000X
Taxonomy (7)
Physician Assistant · 363A00000X
Taxonomy (8)
Nurse Practitioner · 363L00000X
Taxonomy (9)
Nurse Practitioner, Adult Health · 363LA2200X
Taxonomy (10)
Nurse Practitioner, Family · 363LF0000X
License Number (11)
54316
License State (11)
CT
Taxonomy (11)
Pediatrics · 208000000X
Taxonomy (12)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Prime Healthcare, PC?

The NPI number of Prime Healthcare, PC is 1184819302. It was assigned on September 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Prime Healthcare, PC?

Prime Healthcare, PC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 54316.

Where does Prime Healthcare, PC practice?

The practice location is 30 Jordan Ln, Wethersfield, CT 06109-1278. The office can be reached at 860-263-0253 (phone) or 860-263-0262 (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 1184819302 directly on the NPPES registry website.

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