| South Windsor Ambulatory Care Ctr Inc | |
|
2800 Tamarack Avenue Suite 105 South Windsor CT 06074-5539 | |
| (860) 644-3491 | |
| (860) 644-5744 |
| Full Name | South Windsor Ambulatory Care Ctr Inc |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 2800 Tamarack Avenue, South Windsor, Connecticut |
| Authorized Official Name and Position | Barbara M Petrone (OFFICE MANAGER) |
| Authorized Official Contact | 8606443491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Windsor Ambulatory Care Ctr Inc Po Box 510 South Windsor CT 06074-0510 Ph: (860) 644-3491 | South Windsor Ambulatory Care Ctr Inc 2800 Tamarack Avenue Suite 105 South Windsor CT 06074-5539 Ph: (860) 644-3491 |
| NPI Number | 1760408835 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 05/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760408835 | NPI | - | NPPES |
| 010024303CT01 | Other | CT | BLUE SHIELD OF CT |
| 1751515 | Other | GA | UNITED HEALTH CARE |
| 704554 | Other | CT | CONNECTICARE |
| 80705 | Other | CT | GREAT WEST |
| 7294618 | Other | PA | CIGNA |
| 0V0438 | Other | CT | HEALTHNET |
| 514837 | Other | TX | AETNA |
| P3592661 | Other | CT | OXFORD |
| 004263612 | Medicaid | CT | |
| 427750 | Other | MA | TUFTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 024303 (Connecticut) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | 24303 (Connecticut) | Primary |
Anis & Martin Internal Medicine Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1504 Sullivan Ave, South Windsor, CT 06074 Phone: 860-644-1523 Fax: 860-648-9468 | |
Climb Innovations Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 Sullivan Ave, Unit 2, South Windsor, CT 06074 Phone: 860-432-7771 | |
Intercommunity, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 828 Sullivan Ave Fl 1, South Windsor, CT 06074 Phone: 860-569-5900 Fax: 860-310-2127 | |
Mouli Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 216 Hemlock Ave Ste 103, South Windsor, CT 06074 Phone: 860-471-8030 Fax: 860-244-9143 | |
Women's Center For Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2800 Tamarack Drive, Suite 001, South Windsor, CT 06074 Phone: 860-533-4646 | |
4 Elements Direct Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1199 Sullivan Ave Ste A, South Windsor, CT 06074 Phone: 860-469-5646 Fax: 860-310-1122 | |
Manchester Family Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 75 Joseph Ln, South Windsor, CT 06074 Phone: 860-648-4402 |