| Primary Care Services | |
|
184 Front Ave West Haven CT 06516-2836 | |
| (203) 781-4600 | |
| (203) 781-4624 |
| Full Name | Primary Care Services |
|---|---|
| Speciality | Clinic/center |
| Location | 184 Front Ave, West Haven, Connecticut |
| Authorized Official Name and Position | Lynn M Madden (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2307814600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Services 1 Long Wharf Dr Suite 321 New Haven CT 06511-5991 Ph: (203) 781-4600 | Primary Care Services 184 Front Ave West Haven CT 06516-2836 Ph: (203) 781-4600 |
| NPI Number | 1235687120 |
|---|---|
| Provider Enumeration Date | 09/20/2016 |
| Last Update Date | 01/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235687120 | NPI | - | NPPES |
| 001340132 | Other | CT | SAVAGE MEDICAID |
| 008068298 | Medicaid | CT | |
| 008068420 | Other | CT | SCHEFILITI MEDICAID |
| 008038037 | Other | CT | EGGERT MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0797 (Connecticut) | Primary |
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