Masonicare Health Center
Chronic Disease Hospital in Wallingford, Connecticut
1629061593- Practice location
- 22 Masonic Ave, Wallingford, CT 06492-3048
- Phone
- 203-679-5900
- Fax
- —
- Last updated
- November 5, 2019
Masonicare Health Center is a healthcare organization 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 (CT). The current practice location address for Masonicare Health Center is 22 Masonic Ave, Wallingford, CT 06492-3048 and can be reached out via phone at 203-679-5900.
Provider Profile Details
- NPI Number
- 1629061593
- Provider Name
- Masonicare Health Center
- Provider Entity Type
- Organization
- Address
- 22 Masonic Ave, Wallingford, CT 06492-3048
- Phone Number
- 203-679-5900
- Primary Taxonomy
- Chronic Disease Hospital · 281P00000X
- Organization Subpart
- No
- Authorized Official
- Jon-Paul Venoit · President & Ceo · 203-679-5000
- Provider Enumeration Date
- August 25, 2005
- Last Update Date
- November 5, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Masonic Ave
Wallingford, CT 06492-3048 - City
- Wallingford
- State
- Connecticut
- Zip
- 06492-3048
- Phone Number
- 203-679-5900
Provider Business Mailing Address Details
- Address
- 22 Masonic Ave
Wallingford, CT 06492-3048 - City
- Wallingford
- State
- CT
- Zip
- 06492-3048
- Phone Number
- 203-679-5900
License Information
- License Number (1)
- 0075
- License State (1)
- CT
- Taxonomy (1)
- Clinic/Center, Community Health · 261QC1500X
- License Number (2)
- 11CD
- License State (2)
- CT
- Taxonomy (2)
- Chronic Disease Hospital · 281P00000X · 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 Masonicare Health Center?
The NPI number of Masonicare Health Center is 1629061593. It was assigned on August 25, 2005 and is currently active in the NPPES registry.
What is the specialty of Masonicare Health Center?
Masonicare Health Center is registered under the primary taxonomy Chronic Disease Hospital (code 281P00000X), licensed in CT under license number 0075.
Where does Masonicare Health Center practice?
The practice location is 22 Masonic Ave, Wallingford, CT 06492-3048. The office can be reached at 203-679-5900 (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 1629061593 directly on the NPPES registry website.