Active NPIOrganization

State Of Connecticut

General Acute Care Hospital in Farmington, Connecticut

NPI Number1669466561
Practice location
263 Farmington Avenue, Farmington, CT 06030-5355
Fax
860-679-3071
Last updated
May 4, 2023

State Of Connecticut is a healthcare organization based in Farmington, CT. State Of Connecticut practices in Farmington, CT. The NPI Number for State Of Connecticut is 1669466561 and holds a License No. 00065 (CT). The current practice location address for State Of Connecticut is 263 Farmington Avenue, Farmington, CT 06030-5355 and can be reached out via phone at 860-679-2916 and via fax at 860-679-3071.

Provider Profile Details

NPI Number
1669466561
Provider Name
State Of Connecticut
Provider Entity Type
Organization
Address
263 Farmington Avenue, Farmington, CT 06030-5355
Phone Number
860-679-2916
Fax Number
860-679-3071
Primary Taxonomy
General Acute Care Hospital · 282N00000X
Organization Subpart
No
Authorized Official
Jeffrey Geoghegan · Chief Financial Officer · 860-679-3162
Other Names
John Dempsey Hospital (Other Name)
Provider Enumeration Date
September 7, 2005
Last Update Date
May 4, 2023
Certification Date
December 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
263 Farmington Avenue
Farmington, CT 06030-5355
Zip
06030-5355
Phone Number
860-679-2916
Fax Number
860-679-3071
Farmington, CT 06030Get directions →

Provider Business Mailing Address Details

Address
263 Farmington Avenue
Farmington, CT 06030-5355
City
Farmington
State
CT
Zip
06030-5355

License Information

License Number (1)
00065
License State (1)
CT
Taxonomy (1)
Counselor, Professional · 101YP2500X
License Number (2)
00065
License State (2)
CT
Taxonomy (2)
Psychologist · 103T00000X
License Number (3)
00065
License State (3)
CT
Taxonomy (3)
Social Worker, Clinical · 1041C0700X
License State (4)
CT
Taxonomy (4)
Emergency Medicine · 207P00000X
License Number (5)
00065
License State (5)
CT
Taxonomy (5)
Clinic/Center, Emergency Care · 261QE0002X
License Number (6)
00065
License State (6)
CT
Taxonomy (6)
General Acute Care Hospital · 282N00000X · 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 1669466561. It was assigned on September 7, 2005 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 General Acute Care Hospital (code 282N00000X), licensed in CT under license number 00065.

Where does State Of Connecticut practice?

The practice location is 263 Farmington Avenue, Farmington, CT 06030-5355. The office can be reached at 860-679-2916 (phone) or 860-679-3071 (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 1669466561 directly on the NPPES registry website.

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