NPIMap

Organization Active NPI

Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
National Provider Identifier
1770696643
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0046 Issued in CT
Legal business name
HARTFORD HOSPITAL
Practice address
80 Seymour St
Hartford, CT 06102-8000
Phone
(860) 696-6010
Fax
(860) 696-6190
NPI assigned
Aug 16, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Mr. Thomas Marchozzi
Title
V.P. Finance
Phone
(860) 545-2746

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 046 CT
Emergency Care Clinic/Center 261QE0002X 0046 CT
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 0046 CT
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 046 CT
Adolescent and Children Mental Health Clinic/Center 261QM0855X 046 CT
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 046 CT
General Acute Care Hospital 282N00000X 0046 CT Primary
Air Ambulance 3416A0800X 0046 CT

Addresses

Primary practice location

80 Seymour St
Hartford, CT 06102-8000

Mailing address

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 696-6010

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20031125000700 CT Part B Supplier - Clinic/Group Practice 2567366016 Receives reassigned benefits from 1,795 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
O20031125000752 CT Part B Supplier - Clinic/Group Practice 2567366016 Receives reassigned benefits from 1,348 practitioners
2 other NPIs on this enrollment
O20071219000088 CT Part A Provider - Hospital 2567366016 1 other NPI on this enrollment
O20180917000259 CT Part B Supplier - Hospital Department(S) 2567366016 Receives reassigned benefits from 1 practitioner
Practice locations: Hartford, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770696643. Details of each certification follow.

Hospital certification: CCN 070025

Legal name
HARTFORD HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 22, 2015
Beds
819
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 1, 1854 in CT
Enrollment address
80 Seymour St
Hartford, CT 61028000
Hospital subgroups
General, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Hartford HospitalCCN 070025 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations (25 of 49)

652 W Avon Rd
Avon, CT 06001
Phone (860) 673-2521

80 Fisher Dr
Ste 100
Avon, CT 06001
Phone (855) 255-6181

80 W Avon Rd
Avon, CT 06001
Phone (860) 404-0463

1 Northwestern Dr
Ste 1
Bloomfield, CT 06002

100 Seabury Dr
Bloomfield, CT 06002
Phone (860) 286-4262

1095 Blue Hills Ave
Bloomfield, CT 06002

40 Loeffler Rd
Ofc
Bloomfield, CT 06002
Phone (860) 726-2000

600 Main St
Bridgeport, CT 06604
Phone (203) 345-4816

725 Jarvis St
Cheshire, CT 06410
Phone (203) 272-8395

136 Berlin Rd
Ste 103
Cromwell, CT 06416
Phone (860) 635-0035

111 Founders Plz
East Hartford, CT 06108
Phone (860) 282-7683

265 Ellington Rd
Ste C130
East Hartford, CT 06108
Phone (860) 291-2789

100 Hazard Ave
Ste 204
Enfield, CT 06082
Phone (860) 696-2690

113 Elm St
Enfield, CT 06082
Phone (860) 253-5196

11 South Rd
Ste 260
Farmington, CT 06032
Phone (860) 696-0080

406 Farmington Ave
Farmington, CT 06032
Phone (860) 224-5433

175 Hebron Ave
Glastonbury Health Ctr
Glastonbury, CT 06033

330 Western Blvd
Ofc
Glastonbury, CT 06033
Phone (860) 545-2884

330 Western Blvd
Ste 101
Glastonbury, CT 06033
Phone (860) 654-4723

330 Western Blvd
Ste 103
Glastonbury, CT 06033
Phone (860) 972-2884

118 Main St
Hartford, CT 06106

119 Washington St
Hartford, CT 06106

132 Jefferson St
Hartford, CT 06106
Phone (860) 972-0200

136 Collins St
Hartford, CT 06105

150 Charter Oak Ave
Hartford, CT 06106
Phone (860) 827-7400

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gerald Boisvert Individual Corporate Officer Apr 1, 2013
Corporate DirectorSenior Vice President Apr 1, 2013
Eric Zachs Individual Corporate DirectorBoard Member Jul 1, 2015
Sean M Curtin Individual Corporate Officer Aug 1, 2022
Corporate DirectorVice President Finance Aug 1, 2022
Bimal Patel Individual Corporate OfficerPresident Oct 1, 2017
Operational/Managerial ControlPresident Oct 1, 2017
Matthew L Saidel Individual Corporate DirectorBoard Member Jul 1, 2015
Arnold Case Individual Corporate DirectorBoard of Directors Feb 1, 2021
Brian Maclean Individual Corporate DirectorBoard of Directors Feb 1, 2021
Alexia Cruz Individual Corporate DirectorBoard Member Jul 1, 2016
Samuel S. Gray Individual Corporate DirectorBoard of Directors Jan 1, 2020
Hartford Healthcare Corporation Organization, Hartford, CT Non-profit 5% Or Greater Direct Ownership Interest Dec 17, 1996 100%
E Carol Polifroni Individual Corporate DirectorBoard Member Jul 1, 2015
Christine Erikson Individual Corporate Officer Feb 17, 2020
Corporate DirectorDirector of Finance Feb 17, 2020
Dariush Owlia Individual Corporate DirectorBoard Member Jul 1, 2015
Elease Wright Individual Corporate DirectorBoard of Directors Feb 1, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hartford HospitalHartford, CT, CCN 07S025 Hospital Operational/Managerial Control (100%) Jul 1, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 17

Practitioners & affiliated clinicians

Practitioners 1,903

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.

View all 1,903

Affiliated clinicians 2,344

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 2,344

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1770696643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "860-696-6010",
            "fax_number": "860-696-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "860-696-6010",
            "fax_number": "860-696-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "MARCHOZZI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "V.P. FINANCE",
        "authorized_official_telephone_number": "860-545-2746",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CT",
            "license": "046",
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "CT",
            "license": "0046",
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CT",
            "license": "0046",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "046",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CT",
            "license": "046",
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "046",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CT",
            "license": "0046",
            "primary": true
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "CT",
            "license": "0046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.