Organization Name: | MED- EAST ASSOCIATES LLC |
NPI Number: | 1639155997 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIE A HAKMILLER (ADMINISTRATOR) |
Mailing Address: | 200 Merrow Rd Tolland |
State: | CT US |
Postal Code: | 060843416 |
Phone Number: | 8604561252 |
Fax Number: | 8604562278 |
NPI Enumeration Date: | 12/19/2005 |
NPI Last Update Date: | 06/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |