Healthcare Provider Details

I. General information

NPI: 1447867452
Provider Name (Legal Business Name): TRINITY HEALTH OF NEW ENGLAND URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

852 COTTAGE GROVE RD STE 200
BLOOMFIELD CT
06002-2908
US

IV. Provider business mailing address

PO BOX 679644
DALLAS TX
75267-9644
US

V. Phone/Fax

Practice location:
  • Phone: 860-900-0941
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: TAMARA SAMSON
Title or Position: VP - REVENUE CYCLE
Credential:
Phone: 225-239-7190