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Moonah Inc — NPI 1043027964, West Hartford, CT | NPI Central

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NPI 1043027964

OrganizationActive

Moonah Inc

NPI 1043027964 · Exclusive Provider Organization · West Hartford, CT

Provider details

NPI number: 1043027964
Entity type: Organization
Primary specialty: Exclusive Provider OrganizationManaged Care Organizations
Organization subpart: No
Authorized official: Luke Kist, Co -Founder(251) 223-2212

Specialties & taxonomies

Exclusive Provider OrganizationPrimary302F00000X
Managed Care Organizations

Practice location

82 Griswold Dr

West Hartford, CT 06119-3549

Phone: (302) 267-4679

Approximate (ZIP-level) locationGet directions

More CT providers

Mailing address

82 Griswold Dr

West Hartford, CT 06119-1146

Other names (DBA / former)

Doing business as: Moonah Health

Registry dates

Enumerated: 2024-12-13
Last updated: 2025-02-10
Certified: 2025-02-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.