NPIMap

Organization Active NPI

Premier Healthcare Services of Connecticut LLC

Doing business as Premier Urgent Care

  • Urgent Care Clinic/Center
  • Newington, CT
National Provider Identifier
1336494830
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PREMIER HEALTHCARE SERVICES OF CONNECTICUT LLC
Doing business as
Premier Urgent Care
Practice address
2909 Berlin Tpke
Newington, CT 06111-4115
Phone
(860) 436-3757
Fax
(860) 436-9622
NPI assigned
Jul 20, 2012
Last updated
Feb 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Dr. Lawrence Levine, MDNPI 1083781231
Title
Owner/ Urgent Care Physician
Phone
(860) 436-3757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Urgent Care Clinic/Center 261QU0200X Primary
Durable Medical Equipment & Medical Supplies 332B00000X CT

Addresses

Primary practice location

2909 Berlin Tpke
Newington, CT 06111-4115

Mailing address

2909 Berlin Tpke
Newington, CT 06111-4115
Phone (860) 436-3757

Other names 1

  • Premier Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

278 Oxford Rd
Ste 2
Oxford, CT 06478
Phone (475) 675-5502

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1336494830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 BERLIN TPKE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114115",
            "telephone_number": "860-436-3757",
            "fax_number": "860-436-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 BERLIN TPKE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114115",
            "telephone_number": "860-436-3757",
            "fax_number": "860-436-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTHCARE SERVICES OF CONNECTICUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER/ URGENT CARE PHYSICIAN",
        "authorized_official_telephone_number": "860-436-3757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.