Active NPI
Town of East Hartford
- State or Local Public Health Clinic/Center
- East Hartford, CT
National Provider Identifier
1376242743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- East Hartford Fire
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.
-
- Family Medicine Physician
- East Hartford, CT
- NPI 1093778722
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.