ELLIS MEDICAL CENTER, LLC – NPI #1346484672
Clinic/Center

ELLIS MEDICAL CENTER, LLC is an AHC clinic located in BLOOMFIELD, CT. NPPES has assigned the NPI number 1346484672 to ELLIS MEDICAL CENTER, LLC on April 30, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELLIS MEDICAL CENTER, LLC below.

NPI Profile for
ELLIS MEDICAL CENTER, LLC

NPI Number
1346484672
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELLIS MEDICAL CENTER, LLC
Primary location
701 COTTAGE GROVE RD
SUITE A110
BLOOMFIELD, CT 06002-3080
Phone: (860) 243-1864 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LENWORTH ELLIS
MANAGING MEMBER
Phone: (860) 243-1864
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)		 CT 041803

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.