Breakaway Health Services LLC
Family Medicine in Manchester, Connecticut
1528777505- Practice location
- 843 Main St # 15, Manchester, CT 06040-6020
- Phone
- 860-648-3001
- Fax
- 860-648-3003
- Last updated
- December 18, 2024
Breakaway Health Services LLC is a healthcare organization based in Manchester, CT. Breakaway Health Services LLC practices in Manchester, CT. The NPI Number for Breakaway Health Services LLC is 1528777505. The current practice location address for Breakaway Health Services LLC is 843 Main St # 15, Manchester, CT 06040-6020 and can be reached out via phone at 860-648-3001 and via fax at 860-648-3003.
Provider Profile Details
- NPI Number
- 1528777505
- Provider Name
- Breakaway Health Services LLC
- Provider Entity Type
- Organization
- Address
- 843 Main St # 15, Manchester, CT 06040-6020
- Phone Number
- 860-648-3001
- Fax Number
- 860-648-3003
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Tim Bombard, APRN · Owner · 860-214-4513
- Provider Enumeration Date
- November 18, 2022
- Last Update Date
- December 18, 2024
- Certification Date
- December 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 843 Main St # 15
Manchester, CT 06040-6020 - City
- Manchester
- State
- Connecticut
- Zip
- 06040-6020
- Phone Number
- 860-648-3001
- Fax Number
- 860-648-3003
Provider Business Mailing Address Details
- Address
- 694 Palisado Ave
Windsor, CT 06095-2037 - City
- Windsor
- State
- CT
- Zip
- 06095-2037
- Phone Number
- 860-214-4513
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. | |||
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Frequently Asked Questions
What is the NPI number of Breakaway Health Services LLC?
The NPI number of Breakaway Health Services LLC is 1528777505. It was assigned on November 18, 2022 and is currently active in the NPPES registry.
What is the specialty of Breakaway Health Services LLC?
Breakaway Health Services LLC is registered under the primary taxonomy Family Medicine (code 207Q00000X).
Where does Breakaway Health Services LLC practice?
The practice location is 843 Main St # 15, Manchester, CT 06040-6020. The office can be reached at 860-648-3001 (phone) or 860-648-3003 (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 1528777505 directly on the NPPES registry website.