NPIMap

Organization Active NPI

State of Connecticut Health Center

  • Health Maintenance Organization
  • Farmington, CT
National Provider Identifier
1497055941
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
STATE OF CONNECTICUT HEALTH CENTER
Practice address
263 Farmington Ave
MC 5386
Farmington, CT 06030-5386
Phone
(860) 679-5500
Fax
(860) 676-3415
NPI assigned
Nov 1, 2010
Organization subpart
Yes
Parent organization
STATE OF CONNECTICUTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Ms. Gail Johnson
Title
Director of Administrative Services
Phone
(860) 679-5536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

263 Farmington Ave
MC 5386
Farmington, CT 06030-5386

Mailing address

263 Farmington Ave
MC 5386
Farmington, CT 06030-5386
Phone (860) 679-5500

Other names 1

  • Correctional Managed Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University of Connecticut28 organizations share this tax ID, including this one
Part of
University of Connecticut

Other organizations with this tax ID 27

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

View all 27

Locations

263 Farmington Ave
#5386
Farmington, CT 06030
Phone (860) 679-5500

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1497055941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "MC 5386",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060305386",
            "telephone_number": "860-679-5500",
            "fax_number": "860-676-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "MC 5386",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060305386",
            "telephone_number": "860-679-5500",
            "fax_number": "860-676-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF CONNECTICUT HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF CONNECTICUT",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "860-679-5536",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Correctional Managed Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.