1548225360 NPI number — NEW BRITAIN GENERAL HOSPITAL

Table of content: (NPI 1548225360)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548225360 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:
1548225360
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:
06050-0100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-224-5181
Provider Business Mailing Address Fax Number:
860-826-4946

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:
06050-0100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-224-5181
Provider Business Practice Location Address Fax Number:
860-826-4946
Provider Enumeration Date:
04/18/2006

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: 282N00000X , 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: 900050 . This is a "CONNECTICARE INSURANCE" 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: 004041950 . This is a "SAGA 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: IR0093 . This is a "HEALTHNET INSURANCES" 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: 00428753 , issued by the state of ( NY ) . 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: 004025243 . This is a "SAGA OUTPT" 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: 4025243 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 402524300000 . This is a "BC FAMILY PLAN OUTPATIENT" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 2035717 . This is a "CIGNA BEHAVIORAL HEALTH" 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: 40419500000 . This is a "BC FAMILY PLAN" 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".