# BACK TO HEALTH MEDICAL CENTER, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1568417426
- **Authorized official:** SCOTT A HODES (SENIOR MANAGER)
- **Authorized official phone:** (203) 381-9703

## Contact information

- **Practice address:** 3355 MAIN ST, STRATFORD, CT 06614-4845
- **Practice address phone:** (203) 381-9703
- **Practice address fax:** (203) 381-9802
- **Mailing address:** PO BOX 617, NAUGATUCK, CT 06770-0617
- **Mailing address phone:** (203) 381-9703
- **Mailing address fax:** (203) 381-9802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | CT | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010031532CT01 | ANTHEM BLUE CROSS | CT |
| 01 | — | CV2485 | ACS HEALTHNET | CT |
| 01 | — | P2185176 | OXFORD | CT |