| Mashantucket Pequot Tribal Nation Health Center | |
|
75 Route 2 Ledyard CT 06339-1128 | |
| (860) 321-8000 | |
| (860) 321-4883 |
| Full Name | Mashantucket Pequot Tribal Nation Health Center |
|---|---|
| Speciality | Clinic/center |
| Location | 75 Route 2, Ledyard, Connecticut |
| Authorized Official Name and Position | Rodney A Butler (TRIBAL COUNCIL CHAIRMAN) |
| Authorized Official Contact | 8603966133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mashantucket Pequot Tribal Nation Health Center 75 Route 2 Po Box 3260 Mashantucket CT 06338-3260 Ph: (860) 321-8000 | Mashantucket Pequot Tribal Nation Health Center 75 Route 2 Ledyard CT 06339-1128 Ph: (860) 321-8000 |
| NPI Number | 1508170556 |
|---|---|
| Provider Enumeration Date | 08/02/2010 |
| Last Update Date | 08/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508170556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Mashantucket Pequot Tribal Council Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 75 Route 2, Ledyard, CT 06339 Phone: 860-312-8000 Fax: 860-312-8001 | |
Child And Family Agency Of Southeastern Connecticut, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Gallup Hill Rd, Ledyard, CT 06339 Phone: 860-437-4550 Fax: 860-661-4262 |