Organization Active NPI

Town of East Hartford

  • State or Local Public Health Clinic/Center
  • East Hartford, CT
National Provider Identifier
1376242743
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
TOWN OF EAST HARTFORD
Practice address
740 Main St
East Hartford, CT 06108-3140
Phone
(860) 291-7324
NPI assigned
Feb 24, 2023
Last updated
Jul 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Amanda Garrity
Title
Public Health Nurse Supervisor
Phone
(860) 291-7325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

740 Main St
East Hartford, CT 06108-3140

Mailing address

740 Main St
East Hartford, CT 06108-3140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231005001826 CT Part B Supplier - Clinic/Group Practice 6002261484 Receives reassigned benefits from 1 practitioner
Practice locations: East Hartford, CT

National Provider Directory

National Provider Directory
Tax ID family
East Hartford Fire2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

740 Main St
East Hartford, CT 06108
Phone (860) 291-7324

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": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1376242743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083140",
            "telephone_number": "860-291-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF EAST HARTFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "GARRITY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PUBLIC HEALTH NURSE SUPERVISOR",
        "authorized_official_telephone_number": "860-291-7325"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.