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Masonicare Health Center
Chronic Disease Hospital in Wallingford, Connecticut
NPI 1629061593

Masonicare Health Center is a Chronic Disease Hospital based in Wallingford, CT. Masonicare Health Center practices in Wallingford, CT. The NPI Number for Masonicare Health Center is 1629061593 and holds a License No. 0075 (Connecticut).

The current practice location address for Masonicare Health Center is 22 Masonic Ave, Wallingford, CT and can be reached out via phone at 203-679-5900.

Location: 22 Masonic Ave, Wallingford, CT, 06492-3048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629061593
Provider Name
Masonicare Health Center
Credential
Provider Entity Type
Organization
Address
22 Masonic Ave, Wallingford, CT, 06492-3048
Phone Number
203-679-5900
Fax Number
Provider Enumeration Date
08/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004025425 05 CT
082 01 CT BLUE CROSS
000070177 05 CT
institution
Provider Business Practice Location Address Details
Address
22 Masonic Ave
City
Wallingford
State
Connecticut
Zip
06492-3048
Phone Number
203-679-5900
Fax Number
person
Provider Business Mailing Address Details
Address
22 Masonic Ave
City
Wallingford
State
Connecticut
Zip
06492-3048
Phone Number
203-679-5900
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
11CD (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Hospitals
Classification
Chronic Disease Hospital
Speciality
-
Taxonomy
281P00000X
License No.
0075 (Connecticut)
Definition
(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes.
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