CT CHILDRENS MEDICAL CENTER/BETANCES (NPI# 1093930539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093930539 |
| Entity Type | Organization |
| Organization Name | CT CHILDRENS MEDICAL CENTER/BETANCES |
| Practice Address |
42 Charter Oak Ave Hartford CT 06106-1909 |
| Practice Telephone | 8605254640 |
| Practice Fax Number | 8605254650 |
| Mailing Telephone | 8605254640 |
| Mailing Fax Number | 8605254650 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-07-31 |
| Authorized Official Name | MS. KATHLEEN LAURIE KELLIHER (PEDIATRIC PA) |
| Authorized Official Telephone | 8605254640 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
000238 | CT | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942423488 | Ct Childrens Medical Center/betances | Clinic/Center | 42 Charter Oak Ave, Hartford, CT 06106-1909 | 2007-04-11 |
| Street Address |
42 CHARTER OAK AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942423488 | Ct Childrens Medical Center/betances | Clinic/Center | 42 Charter Oak Ave, Hartford, CT 06106-1909 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942792254 | Quad/med, LLC | Clinic/Center | 1900 W. Sumner Street, Hartford, WI 53027 | 2018-06-01 |
| 1942423488 | Ct Childrens Medical Center/betances | Clinic/Center | 42 Charter Oak Ave, Hartford, CT 06106-1909 | 2007-04-11 |
| 1922121797 | Hartford Dispensary | Clinic/Center | 12-14 Weston Street, Hartford, CT 06120-1504 | 2007-04-09 |
| 1043823487 | Zen Wellness Care | Clinic/Center | 556 Zion St, Hartford, CT 06106-2348 | 2020-08-25 |
| 1770014656 | Ct Optimal Wellness, LLC | Clinic/Center | 100 Pearl St, 12 Floor, Hartford, CT 06103 | 2017-03-23 |
| 1679011803 | Community Health Services | Clinic/Center | 500 Albany Ave, Hartford, CT 06120-2508 | 2017-02-08 |
| 1386085850 | Burgdorf Bank of America Health Center | Clinic/Center | 131 Coventry St, 2nd Floor Administration, Hartford, CT 06112-1548 | 2013-07-12 |
| 1780958884 | Disability Determination Services | Clinic/Center | 309 Wawarme Ave, Hartford, CT 06114-1509 | 2012-03-07 |
| 1306168398 | Corporate Health Demensions, Inc | Clinic/Center | 151 Farmington Ave., Reaw, Hartford, CT 06156 | 2010-02-18 |
| 1629225842 | Aetna Inc., Wellness Works Center | Clinic/Center | 151 Farmington Ave, Hartford, CT 06156-0001 | 2008-08-19 |
| Find all providers in HARTFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.