| Killingly Medical Center Llc | |
|
545 Hartford Pike Dayville CT 06241-2150 | |
| (860) 204-0883 | |
| Not Available |
| Full Name | Killingly Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 545 Hartford Pike, Dayville, Connecticut |
| Authorized Official Name and Position | Yogesh K Katechia (OFFICER) |
| Authorized Official Contact | 8602040883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Killingly Medical Center Llc 2 Lathrop Ave Norwich CT 06360-2340 Ph: () - | Killingly Medical Center Llc 545 Hartford Pike Dayville CT 06241-2150 Ph: (860) 204-0883 |
| NPI Number | 1609306539 |
|---|---|
| Provider Enumeration Date | 06/13/2017 |
| Last Update Date | 10/14/2019 |
| Medicare PECOS PAC ID | 8325310337 |
|---|---|
| Medicare Enrollment ID | O20170824002650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609306539 | NPI | - | NPPES |
| Provider Name | Anne Amberg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538257779 PECOS PAC ID: 4587753959 Enrollment ID: I20071207000712 |
| Provider Name | Yogesh Kumar Katechia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740265925 PECOS PAC ID: 8729160445 Enrollment ID: I20100902000111 |
| Provider Name | Terry Baksh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710962428 PECOS PAC ID: 2365524071 Enrollment ID: I20100902000238 |
| Provider Name | Ashley J Lachapelle-messier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942664347 PECOS PAC ID: 3971892555 Enrollment ID: I20160520001746 |
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