# MHS PRIMARY CARE INC

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

## Provider details

- **NPI number:** 1215436894
- **Authorized official:** SUSAN MARTIN (NETWORK EXECUTIVE)
- **Authorized official phone:** (860) 358-4802

## Contact information

- **Practice address:** 9 WILDWOOD MEDICAL CTR UNIT 2, ESSEX, CT 06426-1155
- **Practice address phone:** (860) 358-3170
- **Practice address fax:** (860) 358-8666
- **Mailing address:** 28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
- **Mailing address phone:** (860) 358-4820
- **Mailing address fax:** (860) 358-8661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/08/2018
- **Last updated:** 02/07/2022