1730262569 NPI number — MCLAUGHLIN & ASSOCIATES L.L.C.

Table of content: (NPI 1730262569)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730262569 NPI number — MCLAUGHLIN & ASSOCIATES L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MCLAUGHLIN & ASSOCIATES L.L.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730262569
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 586
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANSFIELD CENTER
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06250-0586
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-423-5399
Provider Business Mailing Address Fax Number:
860-423-7665

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
549 STORRS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MANSFIELD CENTER
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06250-0586
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-423-5399
Provider Business Practice Location Address Fax Number:
860-423-7665
Provider Enumeration Date:
10/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCLAUGHLIN
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
G
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
860-423-5399

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  000794 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CU5632 . This is a "HEALTHNET" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 080002447CT02 . This is a "VALERIE RHODES ANTHEM BC/" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 660001904CT02 . This is a "KELLY MABRY ANTHEM BC/BS" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 68BTO3027CT01 . This is a "ANTHEM BC/BS OF CT" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: P896538 . This is a "OXFORD HEALTH PLAN" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 080002722CT03 . This is a "MARIA HIGGINS ANTHEM BC/B" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 660000794CT01 . This is a "ANTHEM BC/BS OF CT" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 080003849CT04 . This is a "MARY ANN DELANEY ANTHEM" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 130000388CT01 . This is a "KIM PUMPHREY ANTHEM BC/BS" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 130001005CT01 . This is a "DAWN VIGUE ANTHEM BC/BS" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 778939 . This is a "CONNECTICARE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".




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