NPIMap

Organization Active NPI

DKH Diabetes Self Managment Education

  • Clinic/Center
  • Putnam, CT
National Provider Identifier
1366613614
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0043 Issued in CT
Legal business name
DKH DIABETES SELF MANAGMENT EDUCATION
Practice address
346 Pomfret St
Putnam, CT 06260-1871
Phone
(860) 928-4344
Fax
(860) 928-4188
NPI assigned
Mar 14, 2008
Organization subpart
Yes
Parent organization
DAY KIMBALL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Crista Durand
Title
Cfo
Phone
(860) 928-6541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0043 CT Primary

Addresses

Primary practice location

346 Pomfret St
Putnam, CT 06260-1871

Mailing address

346 Pomfret St
Putnam, CT 06260-1871
Phone (860) 928-4344

Other names 1

  • Day Kimball Hospital Physician Practices Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Day Kimball Healthcare Inc12 organizations share this tax ID, including this one
Part of
Day Kimball Healthcare Inc

Other organizations with this tax ID 11

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1366613614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601871",
            "telephone_number": "860-928-4344",
            "fax_number": "860-928-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601871",
            "telephone_number": "860-928-4344",
            "fax_number": "860-928-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DKH DIABETES SELF MANAGMENT EDUCATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAY KIMBALL HOSPITAL",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "DURAND",
        "authorized_official_first_name": "CRISTA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-928-6541"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CT",
            "license": "0043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Day Kimball Hospital Physician Practices",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Putnam, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.