Active NPIOrganization

Premise Health Of Connecticut Medical, P.c.

Clinic/Center, Multi-Specialty in Stratford, Connecticut

NPI Number1437805348
Practice location
6900 Main St, Stratford, CT 06614-1378
Fax
—
Last updated
August 15, 2022

Premise Health Of Connecticut Medical, P.c. is a healthcare organization based in Stratford, CT. Premise Health Of Connecticut Medical, P.c. practices in Stratford, CT. The NPI Number for Premise Health Of Connecticut Medical, P.c. is 1437805348. The current practice location address for Premise Health Of Connecticut Medical, P.c. is 6900 Main St, Stratford, CT 06614-1378 and can be reached out via phone at 203-386-6488.

Provider Profile Details

NPI Number
1437805348
Provider Name
Premise Health Of Connecticut Medical, P.c.
Provider Entity Type
Organization
Address
6900 Main St, Stratford, CT 06614-1378
Phone Number
203-386-6488
Primary Taxonomy
Clinic/Center, Multi-Specialty · 261QM1300X
Organization Subpart
No
Authorized Official
Jon Leizman · President · 216-479-9063
Other Names
The Wellness Center Operated By Premise Health (Doing Business As)
Provider Enumeration Date
March 1, 2022
Last Update Date
August 15, 2022
Certification Date
August 15, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
6900 Main St
Stratford, CT 06614-1378
Zip
06614-1378
Phone Number
203-386-6488
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
City
Brentwood
State
TN
Zip
37027-4993

License Information

Taxonomy
Clinic/Center, Multi-Specialty · 261QM1300X · 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 Premise Health Of Connecticut Medical, P.c.?

The NPI number of Premise Health Of Connecticut Medical, P.c. is 1437805348. It was assigned on March 1, 2022 and is currently active in the NPPES registry.

What is the specialty of Premise Health Of Connecticut Medical, P.c.?

Premise Health Of Connecticut Medical, P.c. is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X).

Where does Premise Health Of Connecticut Medical, P.c. practice?

The practice location is 6900 Main St, Stratford, CT 06614-1378. The office can be reached at 203-386-6488 (phone).

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 1437805348 directly on the NPPES registry website.

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