Active NPIOrganization

State Of Connecticut

Durable Medical Equipment & Medical Supplies in Avon, Connecticut

NPI Number1164601183
Practice location
2 Simsbury RD, C/O Roy Beebe, MD, Avon, CT 06001-3711
Fax
860-679-1610
Last updated
June 14, 2012

State Of Connecticut is a healthcare organization based in Avon, CT. State Of Connecticut practices in Avon, CT. The NPI Number for State Of Connecticut is 1164601183 and holds a License No. 035715 (CT). The current practice location address for State Of Connecticut is 2 Simsbury RD, C/O Roy Beebe, MD, Avon, CT 06001-3711 and can be reached out via phone at 860-678-0022 and via fax at 860-679-1610.

Provider Profile Details

NPI Number
1164601183
Provider Name
State Of Connecticut
Provider Entity Type
Organization
Address
2 Simsbury RD, C/O Roy Beebe, MD, Avon, CT 06001-3711
Phone Number
860-678-0022
Fax Number
860-679-1610
Primary Taxonomy
Durable Medical Equipment & Medical Supplies · 332B00000X
Organization Subpart
No
Authorized Official
Denis C Lafreniere, MD · Medical Director · 860-679-7503
Other Names
Durable Medical Equipment & Medical Supplies (Doing Business As)
Provider Enumeration Date
October 26, 2007
Last Update Date
June 14, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Simsbury RD
C/O Roy Beebe, MD
Avon, CT 06001-3711
City
Avon
Zip
06001-3711
Phone Number
860-678-0022
Fax Number
860-679-1610
Avon, CT 06001Get directions →

Provider Business Mailing Address Details

Address
263 Farmington Ave
Provider Enrollment - Dowling South
Farmington, CT 06030-2212
City
Farmington
State
CT
Zip
06030-2212
Phone Number
860-679-7503
Fax Number
860-679-1610

License Information

License Number
035715
License State
CT
Taxonomy
Durable Medical Equipment & Medical Supplies · 332B00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of State Of Connecticut?

The NPI number of State Of Connecticut is 1164601183. It was assigned on October 26, 2007 and is currently active in the NPPES registry.

What is the specialty of State Of Connecticut?

State Of Connecticut is registered under the primary taxonomy Durable Medical Equipment & Medical Supplies (code 332B00000X), licensed in CT under license number 035715.

Where does State Of Connecticut practice?

The practice location is 2 Simsbury RD, C/O Roy Beebe, MD, Avon, CT 06001-3711. The office can be reached at 860-678-0022 (phone) or 860-679-1610 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164601183 directly on the NPPES registry website.

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