Organization Active NPI

Community Health and Wellness Center of Greater Torrington

  • Dental Clinic/Center
  • Torrington, CT
National Provider Identifier
1073890844
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
007606 Issued in CT
Legal business name
COMMUNITY HEALTH AND WELLNESS CENTER OF GREATER TORRINGTON
Practice address
469 Migeon Ave
Torrington, CT 06790-4643
Phone
(860) 489-0931
Fax
(860) 489-3325
NPI assigned
Nov 8, 2011
Last updated
Nov 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Ms. Kathleen GrimaudNPI 1992772297
Title
Cheif Executive Officer
Phone
(860) 379-2423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 007606 CT Primary
Federal Public Health Clinic/Center 261QP0904X 007606 CT

Addresses

Primary practice location

469 Migeon Ave
Torrington, CT 06790-4643

Mailing address

469 Migeon Ave
Torrington, CT 06790-4643
Phone (860) 489-0931

National Provider Directory

National Provider Directory
Tax ID family
Community Health and Wellness Center of Greater Torrington5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

469 Migeon Ave
Torrington, CT 06790
Phone (860) 387-0439

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1073890844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 MIGEON AVE",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067904643",
            "telephone_number": "860-489-0931",
            "fax_number": "860-489-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 MIGEON AVE",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067904643",
            "telephone_number": "860-489-0931",
            "fax_number": "860-489-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH AND WELLNESS CENTER OF GREATER TORRINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "GRIMAUD",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "860-379-2423",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CT",
            "license": "007606",
            "primary": true
        },
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": "CT",
            "license": "007606",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.