Organization · Type 2 NPI
Mashantucket Pequot Tribal Nation Health Center
Clinic/Center · Ledyard, CT
NPI number
1508170556
Active
Practice location
75 Route 2
Ledyard, CT 06339-1128
Fax (860) 321-4883
Mailing address
75 Route 2, PO Box 3260
Mashantucket, CT 06338-3260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3 other providers at this address
Other clinic/center providers in Ledyard
About NPI 1508170556
Mashantucket Pequot Tribal Nation Health Center's National Provider Identifier is 1508170556, issued on Aug 2, 2010. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Ledyard, CT. The record was last updated on Aug 2, 2010.