Active NPI
Uncas Health District
- Public Health or Welfare Agency
- Norwich, CT
National Provider Identifier
1700149408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- UNCAS HEALTH DISTRICT
- Practice address
- 401 W Thames St
Suite 106
Norwich, CT 06360-7151 - Phone
- (860) 823-1189
- Fax
- (860) 887-7898
- NPI assigned
- Jun 19, 2012
- Last updated
- Jun 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick R McCormack
- Title
- Director of Health
- Phone
- (860) 823-1189
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
401 W Thames St
Suite 106
Norwich, CT 06360-7151
Mailing address
401 W Thames St
Suite 106
Norwich, CT 06360-7151
Phone (860) 823-1189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230511000345 | CT | Part B Supplier - Mass Immunization (Roster Biller Only) | 1951767243 | Practice locations: Norwich, CT |
National Provider Directory
National Provider DirectoryLocations
401 W Thames St
Unit 106
Norwich, CT 06360
Phone (860) 823-1189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340064000000",
"number": "1700149408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W THAMES ST",
"address_2": "SUITE 106",
"city": "NORWICH",
"state": "CT",
"postal_code": "063607151",
"telephone_number": "860-823-1189",
"fax_number": "860-887-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W THAMES ST",
"address_2": "SUITE 106",
"city": "NORWICH",
"state": "CT",
"postal_code": "063607151",
"telephone_number": "860-823-1189",
"fax_number": "860-887-7898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNCAS HEALTH DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-19",
"last_updated": "2012-06-19",
"status": "A",
"authorized_official_last_name": "MCCORMACK",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DIRECTOR OF HEALTH",
"authorized_official_telephone_number": "860-823-1189"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
- Janelle Turley, LCSW
- Brandylynn Turner, APRN
- John Francis Turner III, PA
- Julie Ann Turner, MA, LPC, LADC
- Shyann Turner
- Uncas Pharmacy LLC
- United Community & Family Services
- United Community & Family Services
- United Community & Family Services, Inc.
- United Community & Family Services, Inc. (Ross Adult Day Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.