Regional Physician Services Connecticut PC
Nurse Practitioner in East Berlin, Connecticut
1659679900- Practice location
- 1224 Mill St Bldg B, East Berlin, CT 06023-1159
- Phone
- 480-862-1677
- Fax
- 480-718-7643
- Last updated
- December 10, 2019
Regional Physician Services Connecticut PC is a healthcare organization based in East Berlin, CT. Regional Physician Services Connecticut PC practices in East Berlin, CT. The NPI Number for Regional Physician Services Connecticut PC is 1659679900. The current practice location address for Regional Physician Services Connecticut PC is 1224 Mill St Bldg B, East Berlin, CT 06023-1159 and can be reached out via phone at 480-862-1677 and via fax at 480-718-7643.
Provider Profile Details
- NPI Number
- 1659679900
- Provider Name
- Regional Physician Services Connecticut PC
- Provider Entity Type
- Organization
- Address
- 1224 Mill St Bldg B, East Berlin, CT 06023-1159
- Phone Number
- 480-862-1677
- Fax Number
- 480-718-7643
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Organization Subpart
- Yes
- Parent Organization
- Community Care Health Network INC
- Authorized Official
- Victoria Alvarez · Director, Credentialing · 480-862-1695
- Other Names
- Matrix Medical Network (Doing Business As)
- Provider Enumeration Date
- March 10, 2011
- Last Update Date
- December 10, 2019
- Certification Date
- December 10, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1224 Mill St Bldg B
East Berlin, CT 06023-1159 - City
- East Berlin
- State
- Connecticut
- Zip
- 06023-1159
- Phone Number
- 480-862-1677
- Fax Number
- 480-718-7643
Provider Business Mailing Address Details
- Address
- 9201 E Mountain View RD
Suite 220
Scottsdale, AZ 85258 - City
- Scottsdale
- State
- AZ
- Zip
- 85258
- Phone Number
- 480-862-1700
- Fax Number
- 480-907-1537
License Information
- Taxonomy
- Nurse Practitioner · 363L00000X · 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 Regional Physician Services Connecticut PC?
The NPI number of Regional Physician Services Connecticut PC is 1659679900. It was assigned on March 10, 2011 and is currently active in the NPPES registry.
What is the specialty of Regional Physician Services Connecticut PC?
Regional Physician Services Connecticut PC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X).
Where does Regional Physician Services Connecticut PC practice?
The practice location is 1224 Mill St Bldg B, East Berlin, CT 06023-1159. The office can be reached at 480-862-1677 (phone) or 480-718-7643 (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 1659679900 directly on the NPPES registry website.