Organization
MHS PRIMARY CARE INC
Active
Parent organization
MHS PRIMARY CARE INC
Other names
Middlesex Hospital Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MHS PRIMARY CARE INC
Authorized official
SUSAN MARTIN (VP FINANCE)
(860) 358-3005
Entity
Organization
Contact information
Practice address
154 MAIN ST, OLD SAYBROOK, CT 06475-2373
(860) 661-5976
(860) 358-8664
Mailing address
28 CRESCENT ST, MIDDLESEX HOSPITAL URGENT CARE, MIDDLETOWN, CT 06457-3654
(860) 358-4870
(860) 358-6748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
CT
207R00000X
Internal Medicine Physician
—
CT
261QU0200X
Urgent Care Clinic/Center
Primary
—
CT
363A00000X
Physician Assistant
—
CT
363AM0700X
Medical Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008050108
—
CT
05
—
008050909
—
CT
05
—
008061130
—
CT
05
—
008061268
—
CT
Enumeration date
01/29/2014
Last updated
04/07/2022
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