State of Connecticut Health Center
NPI #1497055941 in Farmington, Connecticut
Provider Information
- NPI Number
- 1497055941
- Entity Type
- Organization
- Organization Name
- State of Connecticut Health Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF CONNECTICUT
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Nov 1, 2010
- Last Updated
- Nov 1, 2010
Practice Location
- Address
- 263 FARMINGTON AVE
- Address 2
- MC 5386
- City
- Farmington
- State
- Connecticut
- ZIP Code
- 06030-5386
- Phone
- (860) 679-5500
Authorized Official
- Name
- MS. GAIL JOHNSON
- Title
- DIRECTOR OF ADMINISTRATIVE SERVICES
- Phone
- (860) 679-5536
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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