Town Of East Hartford | |
740 Main St East Hartford CT 06108-3140 | |
(860) 291-7324 | |
Not Available |
Full Name | Town Of East Hartford |
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Speciality | Clinic/Center |
Location | 740 Main St, East Hartford, Connecticut |
Authorized Official Name and Position | Amanda Garrity (PUBLIC HEALTH NURSE SUPERVISOR) |
Authorized Official Contact | 8602917325 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Town Of East Hartford 740 Main St East Hartford CT 06108-3140 Ph: () - | Town Of East Hartford 740 Main St East Hartford CT 06108-3140 Ph: (860) 291-7324 |
NPI Number | 1376242743 |
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Provider Enumeration Date | 02/24/2023 |
Last Update Date | 07/17/2023 |
Medicare PECOS PAC ID | 6002261484 |
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Medicare Enrollment ID | O20231005001826 |
Identifier | Type | State | Issuer |
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1376242743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
Provider Name | Andrew L Feller |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093778722 PECOS PAC ID: 1052414836 Enrollment ID: I20070315000336 |
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