NPIMap

Organization Active NPI

Hartford Hospital

  • Customized Equipment (DME)
  • Hartford, CT
National Provider Identifier
1306413844
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
HARTFORD HOSPITAL
Practice address
79 Retreat Avenue
Hartford Hospital Dept of Dentistry
Hartford, CT 06106
Phone
(860) 972-2700
NPI assigned
Jun 4, 2021
Last updated
Jun 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Authorized official

Name
Gerald Boisvert
Title
Senior VP, Finance Operations
Phone
(860) 545-0585

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

79 Retreat Avenue
Hartford Hospital Dept of Dentistry
Hartford, CT 06106

Mailing address

79 Retreat Avenue
Hartford Hospital Dept of Dentistry
Hartford, CT 06106
Phone (860) 972-2700

National Provider Directory

National Provider Directory
Tax ID family
Hartford Hospital Pharmacy12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1306413844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 RETREAT AVENUE",
            "address_2": "HARTFORD HOSPITAL DEPT OF DENTISTRY",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "860-972-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 RETREAT AVENUE",
            "address_2": "HARTFORD HOSPITAL DEPT OF DENTISTRY",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "860-972-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "BOISVERT",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "SENIOR VP, FINANCE OPERATIONS",
        "authorized_official_telephone_number": "860-545-0585"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 4, 2021; 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.