1508928615 NPI number — THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY

Table of content: (NPI 1710041827)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508928615 NPI number — THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
THE HOSPITAL OF CENTRAL CONNECTICUT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508928615
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/27/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 GRAND ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW BRITAIN
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06052-2016
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-224-5011
Provider Business Mailing Address Fax Number:
860-224-5740

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 GRAND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW BRITAIN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06052-2016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-224-5011
Provider Business Practice Location Address Fax Number:
860-224-5740
Provider Enumeration Date:
12/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
JANATKA
Authorized Official First Name:
LUCILLE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
860-224-5900

Provider Taxonomy Codes

  • Taxonomy code: 261QE0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 004025243 . This is a "BEH HLTH PARTNERSHIP OP" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 092132700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 900050 . This is a "CONNECTICARE INSURANCE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: IV1010 . This is a "HEALTHNET INSURANCE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: CTGA001016 . This is a "ADV BEH HEALTH" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: H02258 . This is a "OXFORD INSURANCE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 004025243 . This is a "SAGA OUTPT" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 344791 . This is a "WELLCARE MEDICARE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 4025243 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4041950 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 004041950 . This is a "BEH HLTH PARTNERSHIP INPT" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 95B . This is a "BLUE CROSS" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 004041950 . This is a "SAGA INPT" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 00428753 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2035717 . This is a "CIGNA BEHAVIORHAL HEALTH" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 95G . This is a "BC FAMILYPLAN" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 95G . This is a "ANTHEM BEH HEALTH" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".




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