| Wheeler Clinic Inc | |
|
855 Lakewood Rd Waterbury CT 06704-5408 | |
| (860) 793-3500 | |
| Not Available |
| Full Name | Wheeler Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 855 Lakewood Rd, Waterbury, Connecticut |
| Authorized Official Name and Position | Athena Szczesniak (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8607934235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wheeler Clinic Inc 91 Northwest Dr Plainville CT 06062-1534 Ph: (860) 793-3500 | Wheeler Clinic Inc 855 Lakewood Rd Waterbury CT 06704-5408 Ph: (860) 793-3500 |
| NPI Number | 1265098180 |
|---|---|
| Provider Enumeration Date | 05/16/2019 |
| Last Update Date | 09/11/2020 |
| Medicare PECOS PAC ID | 0345147153 |
|---|---|
| Medicare Enrollment ID | O20191119000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265098180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
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