Avon Family Health, Llc | |
30 W Avon Rd Suite D Avon CT 06001-3678 | |
(860) 675-6595 | |
(860) 673-6721 |
Full Name | Avon Family Health, Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 30 W Avon Rd, Avon, Connecticut |
Authorized Official Name and Position | Mary Elizabeth Leahy (MEMBER) |
Authorized Official Contact | 8606756595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Avon Family Health, Llc 30 W Avon Rd Suite D Avon CT 06001-3678 Ph: (860) 675-6595 | Avon Family Health, Llc 30 W Avon Rd Suite D Avon CT 06001-3678 Ph: (860) 675-6595 |
NPI Number | 1497115380 |
---|---|
Provider Enumeration Date | 03/04/2016 |
Last Update Date | 07/20/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497115380 | NPI | - | NPPES |
004238003 | Medicaid | CT | |
11243173 | Other | CAQH | |
1669496113 | Other | TRICARE | |
11000341 | Other | CT | GROUP MEDICAID |
D400060973 | Other | MEDICARE PTAN | |
7327000 | Other | CIGNA | |
637238 | Other | WELLCARE | |
P4395587 | Other | OXFORD | |
1100341 | Other | GROUP MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (Connecticut) | Primary |
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› Verified 2 days ago
Avon Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 W Avon Rd, Lowr Level, Avon, CT 06001 Phone: 860-673-2581 Fax: 860-675-6202 | |
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