| Vcare Family Practice, Llc | |
|
145 Union Street Vernon CT 06066-3025 | |
| (860) 375-8440 | |
| (860) 858-4091 |
| Full Name | Vcare Family Practice, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 145 Union Street, Vernon, Connecticut |
| Authorized Official Name and Position | Mohamed Altaf Hussain (CEO/ADVANCE PRACTICE REGISTERED NUR) |
| Authorized Official Contact | 8603247988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vcare Family Practice, Llc 145 Union Street Vernon CT 06066-3025 Ph: (860) 375-8440 | Vcare Family Practice, Llc 145 Union Street Vernon CT 06066-3025 Ph: (860) 375-8440 |
| NPI Number | 1215398920 |
|---|---|
| Provider Enumeration Date | 03/09/2016 |
| Last Update Date | 02/05/2024 |
| Medicare PECOS PAC ID | 7517255722 |
|---|---|
| Medicare Enrollment ID | O20161004000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215398920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 005393 (Connecticut) | Secondary |
| Provider Name | Mohamed A Hussain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679914071 PECOS PAC ID: 9830332667 Enrollment ID: I20130827000471 |
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