NPIMap

Organization Active NPI

Connecticut General Life Insurance Company (Cglic)

  • Clinic/Center
  • Bath, ME
National Provider Identifier
1568799278
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CONNECTICUT GENERAL LIFE INSURANCE COMPANY (CGLIC)
Practice address
700 Washington St
Bath, ME 04530-2574
Phone
(207) 442-4939
NPI assigned
Nov 17, 2009
Last updated
Feb 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Mr. Michael Slice, RPH
Title
Vice President
Phone
(602) 371-2971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

700 Washington St
Bath, ME 04530-2574

Mailing address

11001 N Black Canyon Hwy
Phoenix, AZ 85029-4757
Phone (877) 733-1710

Other names 1

  • CIGNA Onsite Health, LLC; Bath Ironworks Other name

National Provider Directory

National Provider Directory
Tax ID family
Cigna Onsite Health LLC38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Locations

11001 N Black Canyon Hwy
Phoenix, AZ 85029
Phone (602) 942-4462

700 Washington St
Bath, ME 04530
Phone (207) 442-4268

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1568799278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 N BLACK CANYON HWY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294757",
            "telephone_number": "877-733-1710",
            "fax_number": "602-328-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WASHINGTON ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302574",
            "telephone_number": "207-442-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT GENERAL LIFE INSURANCE COMPANY (CGLIC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "SLICE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "602-371-2971",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIGNA Onsite Health, LLC; Bath Ironworks",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bath, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.