Prohealth Physicians Pc in Farmington - Adult Health
Prohealth Physicians Pc - NPI 1720194053
Prohealth Physicians Pc is a Adult Health in Farmington, Connecticut. Prohealth Physicians Pc practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Prohealth Physicians Pc is 1720194053. The last update date is 2023-09-29.
Prohealth Physicians Pc's current location address is 3 Farm Glen Blvd, Farmington, Connecticut. You can contact this provider via phone number 8602845200 and fax number 8604094077. The mailing address for Prohealth Physicians Pc is 3 Farm Glen Blvd, Farmington, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prohealth Physicians Pc |
|---|---|
| Address | 3 Farm Glen Blvd, Farmington, Connecticut |
| Phone Number | 8602845200 |
| Fax Number | 8604094077 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF MEDI |
|---|---|
| Authorized Official Name | Donahue Jennifer |
| Credentials | MD |
| Telephone Number | 8602845207 |
NPI Number Detail
| NPI Number | 1720194053 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2023-09-29 |
Provider Mailing Address Detail
| Address | 3 Farm Glen Blvd |
|---|---|
| City | Farmington |
| State | Connecticut (CT) |
| Post Code | 60321981 |
| Phone Number | 8602845200 |
| Fax Number | 8604094077 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 364Sa2200X |
|
Definition: An advanced practice registered nurse with expertise in specialized nursing care for adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4171659 | CT | PED MEDICAID | |
| 4174439 | CT | -- | |
| 4174421 | CT | FP MEDICAID | |
| 4236073 | CT | PT MEDICAID | |
| C02126 | CT | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Prohealth Physicians Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Prohealth Physicians Pc has been assigned the NPI (National Provider Identifier) 1720194053. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Prohealth Physicians Pc's facilities are situated?
The facilities of Prohealth Physicians Pc are physically located at the following address: 3 Farm Glen Blvd, Farmington, CT, 60321981.
What is Prohealth Physicians Pc's area of expertise and its corresponding taxonomy classification?
The Prohealth Physicians Pc's field of specialization is Adult Health, and it falls under the taxonomy code 364Sa2200X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1720194053 assigned to Prohealth Physicians Pc?
The Prohealth Physicians Pc was issued its 1720194053 on 2006-08-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Prohealth Physicians Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Prohealth Physicians Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-09-29.