| Plainfield Walk In Medical Center Llc | |
|
558 Norwich Rd Plainfield CT 06374-1725 | |
| (860) 564-4054 | |
| (860) 564-0354 |
| Full Name | Plainfield Walk In Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 558 Norwich Rd, Plainfield, Connecticut |
| Authorized Official Name and Position | Leah Briones (OWNER) |
| Authorized Official Contact | 8605644054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plainfield Walk In Medical Center Llc 558 Norwich Rd Plainfield CT 06374-1725 Ph: (860) 564-4054 | Plainfield Walk In Medical Center Llc 558 Norwich Rd Plainfield CT 06374-1725 Ph: (860) 564-4054 |
| NPI Number | 1710191135 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 11/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710191135 | NPI | - | NPPES |
| 001379199 | Medicaid | CT | |
| 010037919CT01 | Other | CT | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Premise Health Of Connecticut Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1421 Lowes Way, Plainfield, CT 06374 Phone: 860-317-4000 Fax: 860-317-4030 | |
Wagdy M Habashy Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31 Dow Rd, Plainfield, CT 06374 Phone: 860-564-6296 Fax: 860-230-0446 |