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Contact Information

UCONN FIRE DEPARTMENT MICU - NEONATAL
263 FARMINGTON AVE
FARMINGTON, CT06030-0001
 Phone: 860-674-2525
 Fax: 860-679-1199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for UCONN FIRE DEPARTMENT MICU - NEONATAL

NPI Number 1871581223
LBN Legal business name UCONN FIRE DEPARTMENT MICU - NEONATAL
Authorized official MARY GENTILE - (AUTHORIZED AGENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2005
Last updated 10/16/2008 - About 18 years ago
Identifiers
CT License # C052P1
CT Medicaid 004223450
CT Other 1871581223 RAILROAD MEDICARE
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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