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Contact Information

EASTERN CT HEALTH SYSTEMS INC
88 CLARK LANE
WATERFORD, CT06385
 Phone: 860-442-0471
 Fax: 860-440-3574
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for EASTERN CT HEALTH SYSTEMS INC

NPI Number 1780670299
LBN Legal business name EASTERN CT HEALTH SYSTEMS INC
Authorized official JAMES PETTEY - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
CT License # 1048C
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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