NPIMap

Organization Active NPI

The Urgent Care Center of Connecticut, LLC

  • Internal Medicine Physician
  • Bloomfield, CT
National Provider Identifier
1841526068
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
018911 Issued in CT
Legal business name
THE URGENT CARE CENTER OF CONNECTICUT, LLC
Practice address
421 Cottage Grove Rd
Suite B
Bloomfield, CT 06002-3119
Phone
(860) 242-3933
Fax
(860) 242-3301
NPI assigned
Oct 22, 2009
Last updated
Jan 3, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
COLLINS MEDICAL ASSOCIATES 2 PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Authorized official

Name
Gilberto Ramirez, MDNPI 1518981448
Title
Medical Director
Phone
(860) 242-0034

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
Primary Care Clinic/Center 261QP2300X
Family Medicine Physician 207Q00000X 018911 CT
Internal Medicine Physician 207R00000X 018911 CT Primary

Addresses

Primary practice location

421 Cottage Grove Rd
Suite B
Bloomfield, CT 06002-3119

Mailing address

421 Cottage Grove Rd
Suite B
Bloomfield, CT 06002-3119
Phone (860) 242-3933

Other identifiers 1

IdentifierTypeStateIssuer
008017921MedicaidCT

National Provider Directory

National Provider Directory
Part of
Collins Medical Associates 2 PC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

421 Cottage Grove Rd
Ste B
Bloomfield, CT 06002
Phone (860) 242-0034

Practitioners & affiliated clinicians

Practitioners 9

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": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1841526068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 COTTAGE GROVE RD",
            "address_2": "SUITE B",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023119",
            "telephone_number": "860-242-3933",
            "fax_number": "860-242-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 COTTAGE GROVE RD",
            "address_2": "SUITE B",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023119",
            "telephone_number": "860-242-3933",
            "fax_number": "860-242-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE URGENT CARE CENTER OF CONNECTICUT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLLINS MEDICAL ASSOCIATES 2 PC",
        "enumeration_date": "2009-10-22",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "860-242-0034",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "018911",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "018911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008017921",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.