CORPORATE HEALTH DEMENSIONS, INC (NPI# 1306168398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306168398 |
| Entity Type | Organization |
| Organization Name | CORPORATE HEALTH DEMENSIONS, INC |
| Other Organization Name | AETNA WELLNESS CENTER |
| Practice Address |
151 Farmington Ave. Reaw Hartford CT 06156 |
| Mailing Address |
205 Millersprings Ct Attn: Cbo Franklin TN 37064-5434 |
| Practice Telephone | 8602733265 |
| Practice Fax Number | 8602733272 |
| Mailing Telephone | 8888304255 |
| Mailing Fax Number | 6152960151 |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |
| Authorized Official Name | STEPHANIE LARSON (BILLING OFFICE MANAGER) |
| Authorized Official Telephone | 6154686538 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Aetna Wellness Center | Doing Business As Name - Organization |
| Street Address |
151 FARMINGTON AVE. REAW |
| City | HARTFORD |
| State | CT |
| Zip Code | 06156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689896615 | Wayne Sedrick Rawlins | Internal Medicine | 151 Farmington Ave., Rc5a, Hartford, CT 16156 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356560031 | Kirsten Margret Anderson | Internal Medicine | 151 Farmington Ave # Re52, Office of The Cmo, Hartford, CT 06156-0001 | 2007-04-24 |
| 1417903766 | Kenneth Thomas Johnson | Surgery | 151 Farmington Ave, Hartford, CT 06156-0001 | 2006-05-26 |
| 1326014341 | Shilpa Thakur | Internal Medicine | Wellness Works Ctr, 151 Farmington Ave, Hartford, CT 06156-0001 | 2006-02-28 |
| 1750999587 | Aetna Health Inc. (ct) | Health Maintenance Organization | 151 Farmington Ave, Hartford, CT 06156-0001 | 2020-07-17 |
| 1063769107 | Lonny Reisman | Internal Medicine | 151 Farmington Ave, Hartford, CT 06156-0001 | 2012-08-08 |
| 1750666764 | Palak Chokshi | Pharmacist | 151 Farmington Ave, Hartford, CT 06156-0001 | 2011-10-21 |
| 1275818288 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 151 Farmington Ave, Hartford, CT 06156-0001 | 2011-10-21 |
| 1326326588 | James Dewitt Cross | General Practice | 151 Farmington Ave # Re52, Hartford, CT 06156-0001 | 2011-07-21 |
| 1730484643 | Elizabeth A Summa | Social Worker | 151 Farmington Ave, Rs32, Hartford, CT 06156-0001 | 2011-01-24 |
| 1629225842 | Aetna Inc., Wellness Works Center | Clinic/Center | 151 Farmington Ave, Hartford, CT 06156-0001 | 2008-08-19 |
| Find all providers in zip 06156 | ||||
| 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 |
| 1629225842 | Aetna Inc., Wellness Works Center | Clinic/Center | 151 Farmington Ave, Hartford, CT 06156-0001 | 2008-08-19 |
| 1093930539 | Ct Childrens Medical Center/betances | Clinic/Center | 42 Charter Oak Ave, Hartford, CT 06106-1909 | 2007-04-17 |
| 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.