Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Masonicare Health Center

Organization Clinic/Center · NPI 1588638688

Masonicare Health Center is a Clinic/Center in Wallingford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.

Licensed in
CT
In the registry since
2006
Specialties on file
4
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Practice location Address checks out

22 Masonic Ave
Wallingford, CT 06492-3048
Phone: (203) 679-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 0075 (CT)
Clinic/Center Taxonomy 261Q00000X · Licence 0075 (CT)
Community Health Clinic/Center Taxonomy 261QC1500X · Licence 0075 (CT)
Prosthetic/Orthotic Supplier Taxonomy 335E00000X · Licence 0075 (CT)

Record details

NPI number1588638688
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon-Paul Venoit — President & Ceo · (203) 679-5000
NPI enumeratedFebruary 15, 2006
Last updated in NPPESNovember 5, 2019
Mailing address22 Masonic Ave, Wallingford, CT 06492-3048

Other providers in Wallingford