MHS Primary Care Inc.

Organization Active NPI Surgery Physician · Middletown, CT

NPI 1053787564 · NPPES record last updated Mar 15, 2018

Key facts

NPI
1053787564
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
MHS PRIMARY CARE INC.
Practice address
540 Saybrook Rd Ste 100
Middletown, CT 06457-4760
Phone
(860) 358-2780
Fax
(860) 358-2781
NPI assigned
Aug 19, 2015
Organization subpart
Yes
Parent organization (as reported)
MHS PRIMARY CARE INC.

Authorized official

Name
Susan Martin
Title
Vice President Finance & Treasurer
Phone
(860) 358-6140

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
MHS Primary Care Inc (17 organizations share this tax ID)
Part of
MHS Primary Care Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207NS0135X
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208600000X Yes
Vascular Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2086S0129X
Surgical Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2086X0206X
Colon & Rectal Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208C00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208G00000X
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X

Addresses

Primary practice location

540 Saybrook Rd Ste 100
Middletown, CT 06457-4760

Mailing address

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-4820

Other providers in Middletown, CT

All providers in Middletown, CT · Surgery Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.