1518060110 NPI number — ROBERT C. GEER MEMORIAL HOSPITAL, INC

Table of content: (NPI 1518060110)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518060110 NPI number — ROBERT C. GEER MEMORIAL HOSPITAL, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBERT C. GEER MEMORIAL HOSPITAL, INC
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:
6
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:
1518060110
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/05/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 819
Provider Second Line Business Mailing Address:
99 SOUTH CANAAN ROAD
Provider Business Mailing Address City Name:
CANAAN
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06018-0819
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-824-5137
Provider Business Mailing Address Fax Number:
860-824-1474

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
99 SOUTH CANAAN ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CANAAN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06018-0819
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-824-5137
Provider Business Practice Location Address Fax Number:
860-824-1474
Provider Enumeration Date:
09/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CIMINI
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
FELIX
Authorized Official Title or Position:
CFO/TREASURER
Authorized Official Telephone Number:
860-824-3821

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  843 C , 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: 000008433 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00318016 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com