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Contact Information

JOHNSON MEMORIAL HOSPITAL, INC.
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT06076-4005
 Phone: 860-684-4251
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Unit

273R00000X A0[7] Hospital-Psychiatric Unit
 

General Acute Care Hospital

282N00000X A0[7] Hospital-General
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for JOHNSON MEMORIAL HOSPITAL, INC.

NPI # 1053480293
LBN Legal business name JOHNSON MEMORIAL HOSPITAL, INC.
Authorized official ANTONIO PERUGION - (VICE PRESIDENT AND REGIONAL CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/06/2006
Last updated 03/03/2026 - About 3 months ago
Identifiers
CT License # 0072
CT Medicaid 4024980
CT Medicaid 4041687
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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