Organization
ST. VINCENTS URGENT CARE LLC
Active
Organization
ST. VINCENTS URGENT CARE LLC
Active
Parent organization
ST. VINCENTS URGENT CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. VINCENTS URGENT CARE LLC
Authorized official
LLATOYA GAYLE (CREDENTIALING SPECIALIST)
(475) 210-5346
Entity
Organization
Contact information
Practice address
15 ARMSTRONG RD, SHELTON, CT 06484-4706
(203) 929-1109
Mailing address
2720 MAIN ST STE 1, BRIDGEPORT, CT 06606-5363
(475) 210-5346
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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