| Reliance Health, Inc | |
|
2 Cliff St Norwich CT 06360-5850 | |
| (860) 887-6536 | |
| Not Available |
| Full Name | Reliance Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2 Cliff St, Norwich, Connecticut |
| Authorized Official Name and Position | Carrie Dyer (CEO) |
| Authorized Official Contact | 8608876536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliance Health, Inc 40 Broadway Norwich CT 06360-5702 Ph: (860) 887-6536 | Reliance Health, Inc 2 Cliff St Norwich CT 06360-5850 Ph: (860) 887-6536 |
| NPI Number | 1578855508 |
|---|---|
| Provider Enumeration Date | 05/10/2011 |
| Last Update Date | 11/15/2019 |
| Medicare PECOS PAC ID | 2668696824 |
|---|---|
| Medicare Enrollment ID | O20140610001831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578855508 | NPI | - | NPPES |
| Provider Name | Lauren L Jurczyk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073887568 PECOS PAC ID: 5698936854 Enrollment ID: I20120416000068 |
| Provider Name | Tara A Beatty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699192013 PECOS PAC ID: 8022235456 Enrollment ID: I20140808000838 |
| Provider Name | Danielle E-r Quidgeon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881011013 PECOS PAC ID: 5698996379 Enrollment ID: I20141022000126 |
| Provider Name | Amanda Ferrari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982064408 PECOS PAC ID: 2466713847 Enrollment ID: I20180227001705 |
| Provider Name | John P Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053967463 PECOS PAC ID: 0244569846 Enrollment ID: I20190906002359 |
| Provider Name | Samantha E Hengel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225606627 PECOS PAC ID: 9335581586 Enrollment ID: I20240521000043 |
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