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Contact Information

STATE OF CONNECTICUT
263 FARMINGTON AVENUE
FARMINGTON, CT06030-5355
 Phone: 860-679-2916
 Fax: 860-679-3071
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Unit

273R00000X A0[7] Hospital-Psychiatric Unit
Indicates primary specialty

NPI Profile & details for STATE OF CONNECTICUT

NPI Number 1902891682
LBN Legal business name STATE OF CONNECTICUT
Authorized official JOHN BIANCAMANO - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2005
Last updated 06/17/2009 - About 17 years ago
Identifiers
CT License # 00065
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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