Organization
MASHANTUCKET PEQUOT TRIBAL NATION HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY A BUTLER (TRIBAL COUNCIL CHAIRMAN)
(860) 396-6133
Entity
Organization
Contact information
Practice address
75 ROUTE 2, LEDYARD, CT 06339-1128
(860) 321-8000
(860) 321-4883
Mailing address
75 ROUTE 2, PO BOX 3260, MASHANTUCKET, CT 06338-3260
(860) 321-8000
(860) 312-4883
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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