1437187291 NPI number — NEW BRITAIN GENERAL HOSPITAL

Table of content: LUZVIMINDA MOVIDO APRN, CNP (NPI 1891502803)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437187291 NPI number — NEW BRITAIN GENERAL HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW BRITAIN GENERAL HOSPITAL
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:
Provider Other Organization Name Type Code:
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:
1437187291
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/27/2010
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:
06/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SILVIA
Authorized Official First Name:
CLARENCE
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
860-224-5900

Provider Taxonomy Codes

  • Taxonomy code: 261QE0700X , with the licence number:  0052 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2035717 . This is a "CIGNA BEHAVIORAL HEALTH" 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: 900050 . This is a "CONNECTICARE INSURANCE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: IR0093 . This is a "HEALTHNET INSURANCES" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 015 . This is a "BLUE CROSS" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: CTGA000533 . This is a "ADV BEH HEALTH" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 004025243 . This is a "BEH HLTH PARTNERSHIP OP" 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: 40419500000 . This is a "BC FAMILY PLAN" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 4041950 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 004025243 . This is a "SAGA OUTPT" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 004041950 . This is a "BEH HLTH PARTNERSHIP INPT" 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: 15B . This is a "BC BEHAVIORAL HEALTH" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 402524300000 . This is a "BC FAMILY PLAN OUTPATIENT" 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".




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