| The Mohegan Tribe Of Indians Of Connecticut | |
|
13 Crow Hill Rd Uncasville CT 06382-1118 | |
| (860) 862-6102 | |
| Not Available |
| Full Name | The Mohegan Tribe Of Indians Of Connecticut |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13 Crow Hill Rd, Uncasville, Connecticut |
| Authorized Official Name and Position | Elizabeth Ann Mcdonald (EXECUTIVE HEALTH AND WELFARE OFFICE) |
| Authorized Official Contact | 8608626145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mohegan Tribe Of Indians Of Connecticut 13 Crow Hill Rd Uncasville CT 06382-1118 Ph: (860) 862-6102 | The Mohegan Tribe Of Indians Of Connecticut 13 Crow Hill Rd Uncasville CT 06382-1118 Ph: (860) 862-6102 |
| NPI Number | 1982498200 |
|---|---|
| Provider Enumeration Date | 04/09/2025 |
| Last Update Date | 04/09/2025 |
| Certification Date | 04/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982498200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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