NPIMap

Organization Active NPI

Corporate Health Demensions, Inc

  • Primary Care Clinic/Center
  • Hartford, CT
National Provider Identifier
1306168398
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CORPORATE HEALTH DEMENSIONS, INC
Practice address
151 Farmington Ave.
Reaw
Hartford, CT 06156
Phone
(860) 273-3265
Fax
(860) 273-3272
NPI assigned
Feb 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Stephanie Larson
Title
Billing Office Manager
Phone
(615) 468-6538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

151 Farmington Ave.
Reaw
Hartford, CT 06156

Mailing address

205 Millersprings CT
Attn: Cbo
Franklin, TN 37064-5434
Phone (888) 830-4255

Other names 1

  • Aetna Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aetna Wellness Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

151 Farmington Ave
Rear
Hartford, CT 06156
Phone (860) 273-3265

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1306168398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MILLERSPRINGS CT",
            "address_2": "ATTN: CBO",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645434",
            "telephone_number": "888-830-4255",
            "fax_number": "615-296-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 FARMINGTON AVE.",
            "address_2": "REAW",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06156",
            "telephone_number": "860-273-3265",
            "fax_number": "860-273-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORATE HEALTH DEMENSIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "BILLING OFFICE MANAGER",
        "authorized_official_telephone_number": "615-468-6538"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aetna Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.