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.
Organization
SOUTH WINDSOR AMBULATORY CARE CTR INC
Active
Organization
SOUTH WINDSOR AMBULATORY CARE CTR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA M PETRONE RTR (OFFICE MANAGER)
(860) 644-3491
Entity
Organization
Contact information
Practice address
2800 TAMARACK AVENUE, SUITE 105, SOUTH WINDSOR, CT 06074-5539
(860) 644-3491
(860) 644-5744
Mailing address
PO BOX 510, SOUTH WINDSOR, CT 06074-0510
(860) 644-3491
(860) 644-5744
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
024303
CT
261QU0200X
Urgent Care Clinic/Center
Primary
24303
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004263612
—
CT
01
—
010024303CT01
BLUE SHIELD OF CT
CT
01
—
0V0438
HEALTHNET
CT
01
—
1751515
UNITED HEALTH CARE
GA
01
—
427750
TUFTS
MA
01
—
514837
AETNA
TX
01
—
704554
CONNECTICARE
CT
01
—
7294618
CIGNA
PA
01
—
80705
GREAT WEST
CT
01
—
P3592661
OXFORD
CT
Enumeration date
07/14/2006
Last updated
05/19/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up