Active NPIOrganization

Premise Health Of Connecticut Medical, P.c.

Clinic/Center, Occupational Medicine in Ridgefield, Connecticut

NPI Number1801491246
Practice location
900 Ridgebury RD, Ridgefield, CT 06877-1058
Fax
203-837-5105
Last updated
August 15, 2022

Premise Health Of Connecticut Medical, P.c. is a healthcare organization based in Ridgefield, CT. Premise Health Of Connecticut Medical, P.c. practices in Ridgefield, CT. The NPI Number for Premise Health Of Connecticut Medical, P.c. is 1801491246. The current practice location address for Premise Health Of Connecticut Medical, P.c. is 900 Ridgebury RD, Ridgefield, CT 06877-1058 and can be reached out via phone at 203-798-5605 and via fax at 203-837-5105.

Provider Profile Details

NPI Number
1801491246
Provider Name
Premise Health Of Connecticut Medical, P.c.
Provider Entity Type
Organization
Address
900 Ridgebury RD, Ridgefield, CT 06877-1058
Phone Number
203-798-5605
Fax Number
203-837-5105
Primary Taxonomy
Clinic/Center, Occupational Medicine · 261QX0100X
Organization Subpart
No
Authorized Official
Dr. Jon Leizman, MD · President · 216-479-9063
Other Names
Boehringer Ingelheim Occupational Health Clinic (Doing Business As)
Provider Enumeration Date
December 3, 2020
Last Update Date
August 15, 2022
Certification Date
August 15, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
900 Ridgebury RD
Ridgefield, CT 06877-1058
Zip
06877-1058
Phone Number
203-798-5605
Fax Number
203-837-5105
Ridgefield, CT 06877Get directions →

Provider Business Mailing Address Details

Address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
City
Brentwood
State
TN
Zip
37027-4993

License Information

Taxonomy
Clinic/Center, Occupational Medicine · 261QX0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Premise Health Of Connecticut Medical, P.c.?

The NPI number of Premise Health Of Connecticut Medical, P.c. is 1801491246. It was assigned on December 3, 2020 and is currently active in the NPPES registry.

What is the specialty of Premise Health Of Connecticut Medical, P.c.?

Premise Health Of Connecticut Medical, P.c. is registered under the primary taxonomy Clinic/Center, Occupational Medicine (code 261QX0100X).

Where does Premise Health Of Connecticut Medical, P.c. practice?

The practice location is 900 Ridgebury RD, Ridgefield, CT 06877-1058. The office can be reached at 203-798-5605 (phone) or 203-837-5105 (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 1801491246 directly on the NPPES registry website.

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