NPIMap

Organization Active NPI

The Hospital of Central Connecticut at New Britain General and Bradley

Doing business as The Hospital of Central Connecticut

  • General Acute Care Hospital
  • New Britain, CT
National Provider Identifier
1053477075
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY
Doing business as
The Hospital of Central Connecticut
Practice address
100 Grand St
New Britain, CT 06052-2016
Phone
(860) 224-5011
Fax
(860) 224-5740
NPI assigned
Dec 28, 2006
Last updated
Mar 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gary Havican
Title
President
Phone
(860) 224-5723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

100 Grand St
New Britain, CT 06052-2016

Mailing address

100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5011

Other identifiers 16

IdentifierTypeStateIssuer
004025243OtherCTSAGA OUTPT
CTGA001016OtherCTADV BEH HEALTH
H02258OtherCTOXFORD INSURANCE
004041950OtherCTSAGA INPT
344791OtherCTWELLCARE MEDICARE
IV1010OtherCTHEALTHNET INSURANCE
900050OtherCTCONNECTICARE INSURANCE
95GOtherCTANTHEM BEH HEALTH
4041950MedicaidCT
00428753MedicaidNY
092132700MedicaidFL
4025243MedicaidCT
95BOtherCOBLUECROSS
95GOtherCTBC FAMILYPLAN
004025243OtherCTBEH HLTH PARTNERSHIP OP
004041950OtherCTBEH HLTH PARTNERSHIP INPT

Other names 1

  • The Hospital of Central Connecticut Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030626000011 CT Part A Provider - Hospital 6507776564 1 other NPI on this enrollment
O20040115000497 CT Part B Supplier - Clinic/Group Practice 6507776564 Receives reassigned benefits from 886 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newington, CT; New Britain, CT; Plainville, CT; Plantsville, CT; Southington, CT; Torrington, CT; Meriden, CT; Kensington, CT…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053477075. Details of each certification follow.

Hospital certification: CCN 070035

Legal name
THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY
Doing business as
THE HOSPITAL OF CENTRAL CONNECTICUT
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 1, 2012
Beds
330
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1966 in CT
Enrollment address
100 Grand St
New Britain, CT 60522016
Hospital subgroups
General, Acute care, Psychiatric

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
The Hospital of Central ConnecticutCCN 070035 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John R Rathgeber Individual Corporate DirectorBoard Member Sep 1, 2015
Vincent J Fortunato Individual Corporate DirectorBoard of Directors Jan 1, 2020
Bruce C Eldridge Individual Corporate DirectorBoard of Directors Jan 1, 2020
Nadine Francis West Individual Corporate DirectorBoard of Directors Jul 1, 2019
Alex Toribio Individual Corporate DirectorBoard of Director Jan 31, 2024
Howard P Boey Individual Corporate DirectorBoard of Director Jan 31, 2024
Joseph Delmastro Individual Corporate DirectorVice President Finance Feb 15, 2022
W-2 Managing EmployeeVice President Finance Sep 7, 2023
Ali Hemdan Individual Corporate DirectorBoard of Directpr Jan 31, 2024
Phillip M Boiselle Individual Corporate DirectorBoard of Director Jan 31, 2024
Cynthia H McCraven Individual Corporate Director Jun 23, 2020
David B Hyman Individual Corporate DirectorBoard of Director Jul 1, 2019
Eva Footit Individual Corporate DirectorFinance Manager Feb 15, 2024
W-2 Managing Employee Feb 6, 2013

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 603

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 603

Affiliated clinicians 938

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 938

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1053477075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAND ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060522016",
            "telephone_number": "860-224-5011",
            "fax_number": "860-224-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRAND ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060522016",
            "telephone_number": "860-224-5011",
            "fax_number": "860-224-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "HAVICAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-224-5723",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAGA OUTPT",
            "identifier": "004025243",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADV BEH HEALTH",
            "identifier": "CTGA001016",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INSURANCE",
            "identifier": "H02258",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAGA INPT",
            "identifier": "004041950",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE MEDICARE",
            "identifier": "344791",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET INSURANCE",
            "identifier": "IV1010",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE INSURANCE",
            "identifier": "900050",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BEH HEALTH",
            "identifier": "95G",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4041950",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00428753",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092132700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4025243",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "95B",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FAMILYPLAN",
            "identifier": "95G",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEH HLTH PARTNERSHIP OP",
            "identifier": "004025243",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEH HLTH PARTNERSHIP INPT",
            "identifier": "004041950",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Hospital of Central Connecticut",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Hospital of Central Connecticut",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.