Organization Active NPI

McSweeney Regional Senior Center

  • Dental Clinic/Center
  • Willimantic, CT
National Provider Identifier
1265654719
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MCSWEENEY REGIONAL SENIOR CENTER
Practice address
47 Crescent St
Willimantic, CT 06226
Phone
(860) 423-4524
Fax
(860) 450-1665
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Rose Marie Fowler
Title
Executive Director
Phone
(860) 423-4524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

47 Crescent St
Willimantic, CT 06226

Mailing address

47 Crescent St
Willimantic, CT 06226
Phone (860) 423-4524

National Provider Directory

National Provider Directory

Locations

47 Crescent St
Willimantic, CT 06226
Phone (860) 423-4524

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1265654719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CRESCENT ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "06226",
            "telephone_number": "860-423-4524",
            "fax_number": "860-450-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CRESCENT ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "06226",
            "telephone_number": "860-423-4524",
            "fax_number": "860-450-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCSWEENEY REGIONAL SENIOR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "ROSE MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-423-4524",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willimantic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.