NPIMap

Organization Active NPI

Saint Francis Hospital and Medical Center

  • Dental Clinic/Center
  • Hartford, CT
National Provider Identifier
1780673293
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
007398 Issued in CT
Legal business name
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
Practice address
1000 Asylum Ave
Suite 3200
Hartford, CT 06105-1770
Phone
(860) 714-4529
Fax
(860) 714-8003
NPI assigned
Oct 18, 2005
Organization subpart
Yes
Parent organization
TRINITY HEALTH OF NEW ENGLAND CORPORATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Mr. James Harris
Title
Regional Director of Reimbursement
Phone
(860) 714-4396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 007398 CT Primary

Addresses

Primary practice location

1000 Asylum Ave
Suite 3200
Hartford, CT 06105-1770

Mailing address

1000 Asylum Ave
Suite 3200
Hartford, CT 06105-1770
Phone (860) 714-4529

Other identifiers 1

IdentifierTypeStateIssuer
004011136MedicaidCT

National Provider Directory

National Provider Directory
Tax ID family
Burgdorf Bank of America Health Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1780673293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 3200",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-714-4529",
            "fax_number": "860-714-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 3200",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-714-4529",
            "fax_number": "860-714-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT FRANCIS HOSPITAL AND MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HEALTH OF NEW ENGLAND CORPORATION, INC.",
        "enumeration_date": "2005-10-18",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "860-714-4396",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CT",
            "license": "007398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004011136",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.