Organization · Type 2 NPI

Masonicare Health Center

Chronic Disease Hospital · Wallingford, CT

NPI number 1629061593 Active

Practice location

22 Masonic Ave
Wallingford, CT 06492-3048

Call (203) 679-5900 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Clinic/Center 261QC1500X0075 (CT)
Chronic Disease Hospital Primary 281P00000X11CD (CT)

Chronic Disease Hospital: (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition…

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About NPI 1629061593

Masonicare Health Center's National Provider Identifier is 1629061593, issued on Aug 25, 2005. The primary taxonomy on file is Chronic Disease Hospital (281P00000X), and the practice location is in Wallingford, CT. The record was last updated on Nov 5, 2019.