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Contact Information

STATE OF CONNECITUT HEALTH CENTER
263 FARMINGTON AVE
PULMONARY MEDICINE
FARMINGTON, CT06030-0001
 Phone: 860-679-3343
 Fax: 860-679-4256
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for STATE OF CONNECITUT HEALTH CENTER

NPI # 1659553949
LBN Legal business name STATE OF CONNECITUT HEALTH CENTER
Authorized official DENIS LAFRENIERE - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/29/2007
Last updated 07/21/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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