Mashantucket Pequot Tribal Council
Family Medicine in Ledyard, Connecticut
1508140922- Practice location
- 75 Route 2, Ledyard, CT 06339-1128
- Phone
- 860-312-8000
- Fax
- 860-312-8001
- Last updated
- September 9, 2014
Mashantucket Pequot Tribal Council is a healthcare organization based in Ledyard, CT. Mashantucket Pequot Tribal Council practices in Ledyard, CT. The NPI Number for Mashantucket Pequot Tribal Council is 1508140922. The current practice location address for Mashantucket Pequot Tribal Council is 75 Route 2, Ledyard, CT 06339-1128 and can be reached out via phone at 860-312-8000 and via fax at 860-312-8001.
Provider Profile Details
- NPI Number
- 1508140922
- Provider Name
- Mashantucket Pequot Tribal Council
- Provider Entity Type
- Organization
- Address
- 75 Route 2, Ledyard, CT 06339-1128
- Phone Number
- 860-312-8000
- Fax Number
- 860-312-8001
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Shanna Tari Reels · Tribal Health Services Director · 860-312-8014
- Provider Enumeration Date
- October 4, 2011
- Last Update Date
- September 9, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Route 2
Ledyard, CT 06339-1128 - City
- Ledyard
- State
- Connecticut
- Zip
- 06339-1128
- Phone Number
- 860-312-8000
- Fax Number
- 860-312-8001
Provider Business Mailing Address Details
- Address
- Po Box 3260
75 Rt 2
Mashantucket, CT 06339-3260 - City
- Mashantucket
- State
- CT
- Zip
- 06339-3260
- Phone Number
- 860-312-8000
- Fax Number
- 860-312-8001
License Information
- Taxonomy
- 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 Ledyard, CT
View all Family Medicine providers in Ledyard →- L&m Physician Association, INCFamily Medicine · NPI 1386972693
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- Sound Medical Associates, PCFamily Medicine · NPI 1629021860
- Caitlin J Koniarczyk, RDNDietitian, Registered · NPI 1386267631
- North Star Nutrition LLCDietitian, Registered · NPI 1275439903
- Megan A BanachStudent in an Organized Health Care Education/Training Program · NPI 1962306282
Frequently Asked Questions
What is the NPI number of Mashantucket Pequot Tribal Council?
The NPI number of Mashantucket Pequot Tribal Council is 1508140922. It was assigned on October 4, 2011 and is currently active in the NPPES registry.
What is the specialty of Mashantucket Pequot Tribal Council?
Mashantucket Pequot Tribal Council is registered under the primary taxonomy Family Medicine (code 207Q00000X).
Where does Mashantucket Pequot Tribal Council practice?
The practice location is 75 Route 2, Ledyard, CT 06339-1128. The office can be reached at 860-312-8000 (phone) or 860-312-8001 (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 1508140922 directly on the NPPES registry website.