OrganizationActive
Uc of Mohegan Lake, LLC
NPI 1780048280 · Urgent Care Clinic/Center · Glastonbury, CT
Provider details
- NPI number
- 1780048280
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jeannie Kenkare, Cmo
Practice location
2928 Main St
Glastonbury, CT 06033-1007
Phone: (860) 657-8289
Fax: (203) 905-6824
Mailing address
3085 E Main St Ste 12a
Mohegan Lake, NY 10547-1542
Registry dates
- Enumerated
- 2016-04-11
- Last updated
- 2016-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.