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Contact Information

BURGDORF BANK OF AMERICA HEALTH CENTER
131 COVENTRY ST
2ND FLOOR ADMINISTRATION
HARTFORD, CT06112-1548
 Phone: 860-714-2813
 Fax: 860-714-8541
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for BURGDORF BANK OF AMERICA HEALTH CENTER

NPI # 1386085850
LBN Legal business name BURGDORF BANK OF AMERICA HEALTH CENTER
Authorized official BRUCE GOULD - (SITE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/12/2013
Last updated 07/12/2013 - About 13 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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