Active NPIOrganization

State Of Connecticut

Clinic/Center, Adult Mental Health in Middletown, Connecticut

NPI Number1225063860
Practice location
2 Vance Drive Russell Hall, Connecticut Valley Hospital, Middletown, CT 06457
Fax
860-344-2360
Last updated
August 22, 2020

State Of Connecticut is a healthcare organization based in Middletown, CT. State Of Connecticut practices in Middletown, CT. The NPI Number for State Of Connecticut is 1225063860. The current practice location address for State Of Connecticut is 2 Vance Drive Russell Hall, Connecticut Valley Hospital, Middletown, CT 06457 and can be reached out via phone at 860-262-6601 and via fax at 860-344-2360.

Provider Profile Details

NPI Number
1225063860
Provider Name
State Of Connecticut
Provider Entity Type
Organization
Address
2 Vance Drive Russell Hall, Connecticut Valley Hospital, Middletown, CT 06457
Phone Number
860-262-6601
Fax Number
860-344-2360
Primary Taxonomy
Clinic/Center, Adult Mental Health · 261QM0850X
Organization Subpart
No
Authorized Official
Mr. David Albea Crompton · Chief Financial Officer · 860-418-6923
Other Names
Problem Gambling Services (Doing Business As)
Provider Enumeration Date
July 12, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Vance Drive Russell Hall
Connecticut Valley Hospital
Middletown, CT 06457
Zip
06457
Phone Number
860-262-6601
Fax Number
860-344-2360
Middletown, CT 06457Get directions →

Provider Business Mailing Address Details

Address
Po Box 351
2 Vance Drive Russell Hall Connecticut Valley Hospital
Middletown, CT 06457
City
Middletown
State
CT
Zip
06457
Phone Number
860-262-6601
Fax Number
860-344-2360

License Information

Taxonomy
Clinic/Center, Adult Mental Health · 261QM0850X · 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 1225063860. It was assigned on July 12, 2006 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 Clinic/Center, Adult Mental Health (code 261QM0850X).

Where does State Of Connecticut practice?

The practice location is 2 Vance Drive Russell Hall, Connecticut Valley Hospital, Middletown, CT 06457. The office can be reached at 860-262-6601 (phone) or 860-344-2360 (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 1225063860 directly on the NPPES registry website.

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