Organization Active NPI

Vernon Urgent Care Center, LLC

  • Urgent Care Clinic/Center
  • Vernon, CT
National Provider Identifier
1609865757
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
026993 Issued in CT
Legal business name
VERNON URGENT CARE CENTER, LLC
Practice address
224 Hartford Tpke
Vernon, CT 06066-4701
Phone
(860) 871-6939
Fax
(860) 871-2601
NPI assigned
Oct 20, 2005
Last updated
Jan 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Mrs. Barbara M Petrone
Title
Practice Manager
Phone
(860) 871-6939

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Emergency Care Clinic/Center 261QE0002X 026993 CT
Urgent Care Clinic/Center 261QU0200X 026993 CT Primary

Addresses

Primary practice location

224 Hartford Tpke
Vernon, CT 06066-4701

Mailing address

224 Hartford Tpke
Vernon, CT 06066-4701
Phone (860) 871-6939

Other identifiers 1

IdentifierTypeStateIssuer
004062014MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1609865757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664701",
            "telephone_number": "860-871-6939",
            "fax_number": "860-871-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664701",
            "telephone_number": "860-871-6939",
            "fax_number": "860-871-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON URGENT CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "PETRONE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "860-871-6939",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "CT",
            "license": "026993",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CT",
            "license": "026993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004062014",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.