Organization
CLIMB MEDICAL GROUP LLC
Active
Other names
Climb Innovations LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD MCDONALD DO (CEO OF CLIMB MEDICAL GROUP LLC)
(860) 644-3118
Entity
Organization
Contact information
Practice address
828 SULLIVAN AVE STE A, SOUTH WINDSOR, CT 06074
(860) 327-5140
Mailing address
1131 TOLLAND TPKE # 129-O, MANCHESTER, CT 06042-1679
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
53445
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093203291
GROUP NPI FOR CLIMB MEDICAL GROUP LLC
CT
01
—
1396193488
PRIOR NPI FOR PRIOR LEGAL NAME (CLIMB INNOVATIONS LLC)
CT
01
—
1942592514
MY PERSONAL NPI NUMBER
CT
Enumeration date
04/24/2018
Last updated
01/24/2019
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