| Promote Health Llc | |
|
15 N Main St Ste 100 West Hartford CT 06107-1957 | |
| (860) 417-9156 | |
| Not Available |
| Full Name | Promote Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 N Main St Ste 100, West Hartford, Connecticut |
| Authorized Official Name and Position | Charles Ollero (CEO) |
| Authorized Official Contact | 8604179156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promote Health Llc Po Box 328 Watertown CT 06795-0328 Ph: () - | Promote Health Llc 15 N Main St Ste 100 West Hartford CT 06107-1957 Ph: (860) 417-9156 |
| NPI Number | 1861256786 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 09/25/2024 |
| Medicare PECOS PAC ID | 7214375419 |
|---|---|
| Medicare Enrollment ID | O20240408001267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861256786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Charles Ollero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780271387 PECOS PAC ID: 6305252842 Enrollment ID: I20210309001408 |
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