# MHS PRIMARY CARE INC

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

## Provider details

- **NPI number:** 1811322951
- **Authorized official:** SUSAN SERKEY (NETWORK EXECUTIVE)
- **Authorized official phone:** (860) 358-4802

## Contact information

- **Practice address:** 27 WILLIAM F PALMER RD, MOODUS, CT 06469-1132
- **Practice address phone:** (860) 873-1414
- **Practice address fax:** (860) 358-8659
- **Mailing address:** 28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
- **Mailing address phone:** (860) 358-4820
- **Mailing address fax:** (860) 358-6748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | CT | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/09/2013
- **Last updated:** 01/20/2017