# BACKUS HEALTH CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033489984
- **Authorized official:** CINDY HABEEB (CREDENTIALS COORDINATOR)
- **Authorized official phone:** (860) 425-8715

## Contact information

- **Practice address:** 163 BROADWAY ST, COLCHESTER, CT 06415-1022
- **Practice address phone:** (860) 537-4601
- **Mailing address:** 112 LAFAYETTE ST, NORWICH, CT 06360-2737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 4880 | CT | Yes |

## Other

- **Enumeration date:** 01/10/2012
- **Last updated:** 01/10/2012