NPIMap

Organization Active NPI

Uconn Correctional Managed Healthcare

  • General Acute Care Hospital
  • Farmington, CT
National Provider Identifier
1760821896
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
65 Issued in CT
Legal business name
UCONN CORRECTIONAL MANAGED HEALTHCARE
Practice address
263 Farmington Ave
Farmington, CT 06032-1956
Phone
(860) 679-5500
Fax
(860) 679-5552
NPI assigned
Jun 21, 2013
Organization subpart
Yes
Parent organization
UNIVERSITY OF CONNECTICUT HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Dr. Rober Trestman, MD
Title
Ceo
Phone
(860) 679-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 65 CT Primary

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06032-1956

Mailing address

263 Farmington Avenue
Farmington, CT 06032-5386
Phone (860) 679-5500

Other names 1

  • UCONN CMHC Other name

National Provider Directory

National Provider Directory
Tax ID family
Uconn Health Center Pharmacy28 organizations share this tax ID, including this one
Part of
Uconn Health Center Pharmacy

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
Farmington, CT 06032
Phone (860) 679-1706

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1760821896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060325386",
            "telephone_number": "860-679-5500",
            "fax_number": "860-679-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321956",
            "telephone_number": "860-679-5500",
            "fax_number": "860-679-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCONN CORRECTIONAL MANAGED HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF CONNECTICUT HEALTH CENTER",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "TRESTMAN",
        "authorized_official_first_name": "ROBER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-679-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CT",
            "license": "65",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCONN CMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 21, 2013; 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.