MASHANTUCKET PEQUOT TRIBAL COUNCIL
NPI 1508140922
Family Medicine in Ledyard, CT
NPI Status: Active since October 04, 2011
Contact Information
75 ROUTE 2
LEDYARD, CT
ZIP 06339
Phone: (860) 312-8000
Fax: (860) 312-8001
- Organization
- Family Medicine
- CLIA Number: 07D0968602
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 12-15-2025
About MASHANTUCKET PEQUOT TRIBAL COUNCIL
This page provides the complete NPI Profile along with additional information for Mashantucket Pequot Tribal Council, a primary care provider established in Ledyard, Connecticut operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1508140922 assigned on October 2011. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Shanna Tari Reels (Tribal Health Services Director)
- NPI
- 1508140922
- Provider Name
- MASHANTUCKET PEQUOT TRIBAL COUNCIL
- Entity Type
- Organization
- Location Address
- 75 ROUTE 2 LEDYARD, CT 06339
- Location Phone
- (860) 312-8000
- Location Fax
- (860) 312-8001
- Mailing Address
- PO BOX 3260 75 RT 2 MASHANTUCKET, CT 06339
- Mailing Phone
- (860) 312-8000
- Mailing Fax
- (860) 312-8001
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-04-2011
- Last Update Date
- 05-16-2014
- Code Navigator
A primary care provider (PCP) like Mashantucket Pequot Tribal Council sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D0968602
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- December 16, 2023
- Certificate Expiration Date
- December 15, 2025
- Laboratory Director
- SETU VORA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mashantucket Pequot Tribal Council to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MASHANTUCKET PEQUOT TRIBAL COUNCIL
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 1 | 4 | 0 | 9 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 2 | 4 | 0 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 2 + 4 + 0 + 9 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1508140922 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508170556 | MASHANTUCKET PEQUOT TRIBAL NATION HEALTH CENTER Organization | Clinic/Center | 75 ROUTE 2 LEDYARD, CT 06339 (860) 321-8000 |
| 1003965450 | MRS. SANDRA BERARDY AP RN Individual | Clinical Nurse Specialist (Community Health/Public Health) | 75 ROUTE 2 MASHANTUCKET PEQUOT INDIAN HEALTH SERVICES LEDYARD, CT 06339 (860) 312-8000 |
| 1366561508 | DR. PATRICIA A DUBOSE M.D. Individual | Internal Medicine (Infectious Disease) | 75 ROUTE 2 LEDYARD, CT 06339 (860) 312-8000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508140922, enumerated in the NPI registry as an "organization" on October 04, 2011
The provider is located at 75 Route 2 Ledyard, Ct 06339 and the phone number is (860) 312-8000
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider's CLIA number is 07D0968602 for a "rural health clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 04, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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