STATE OF CONNECTICUT HEALTH CENTER (NPI# 1528247541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528247541 |
| Entity Type | Organization |
| Organization Name | STATE OF CONNECTICUT HEALTH CENTER |
| Other Organization Name | DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES |
| Practice Address |
65 Kane St West Hartford CT 06119-2110 |
| Mailing Address |
263 Farmington Ave Provider Enrollment - Dowling South Farmington CT 06030-2212 |
| Practice Telephone | 8606797503 |
| Practice Fax Number | 8606791610 |
| Mailing Telephone | 8606797503 |
| Mailing Fax Number | 8606791610 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2012-06-14 |
| Authorized Official Name | DENIS C LAFRENIERE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8606797503 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 035715 | CT | Suppliers |
| Other Name | Type Code |
|---|---|
| Durable Medical Equipment & Medical Supplies | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497055941 | State of Connecticut Health Center | Health Maintenance Organization | 263 Farmington Ave, Mc 5386, Farmington, CT 06030-5386 | 2010-11-01 |
| 1912165945 | State of Connecticut Health Center | Radiology | 263 Farmington Ave, Radiology Hbp Group, Farmington, CT 06030-0001 | 2008-05-27 |
| 1003074030 | State of Connecticut Health Center | Pathology | 263 Farmington Ave, Laboratory Hbp Group, Farmington, CT 06030-0001 | 2008-05-27 |
| 1811155849 | State of Connecticut Health Center | Obstetrics & Gynecology | 263 Farmington Ave, Ob/gyn Hbp Group, Farmington, CT 06030-0001 | 2008-05-27 |
| 1710156849 | State of Connecticut Health Center | Durable Medical Equipment & Medical Supplies | 850 Bolton Rd, U-85, Storrs Mansfield, CT 06269-9020 | 2008-02-22 |
| 1386821882 | State of Connecticut Health Center | Nurse Practitioner | 263 Farmington Ave, Aprn, Orthopaedics, Farmington, CT 06030-0001 | 2008-01-28 |
| 1669656575 | State of Connecticut Health Center | Pediatrics | 263 Farmington Ave, Pediatric Hematology/oncoloty, Farmington, CT 06030-0001 | 2007-12-27 |
| 1104008408 | State of Connecticut Health Center | Internal Medicine | 263 Farmington Ave, Endrocrinology Associates, Farmington, CT 06030-0001 | 2007-11-29 |
| 1295917599 | State of Connecticut Health Center | Internal Medicine | 263 Farmington Ave, Gastroenterology Associates, Farmington, CT 06030-0001 | 2007-11-29 |
| Street Address |
65 KANE ST |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861352 | Elizabeth Appel | Internal Medicine | 65 Kane St, West Hartford, CT 06119-2110 | 2005-06-17 |
| 1093251662 | Damion Grasso | Psychologist | 65 Kane St, West Hartford, CT 06119-2110 | 2017-01-06 |
| 1427498120 | Asha Dusad | Psychiatry & Neurology | 65 Kane St, West Hartford, CT 06119-2110 | 2013-06-27 |
| 1134563000 | Carolyn A. Greene | Psychologist | 65 Kane St, West Hartford, CT 06119-2110 | 2013-04-23 |
| 1437430683 | Asima Ali Zehgeer | Psychiatry & Neurology | 65 Kane St, Psychiatry, West Hartford, CT 06119-2110 | 2011-09-01 |
| 1619282647 | William M Thramann | Internal Medicine | 65 Kane St, Internal Medicine, West Hartford, CT 06119-2110 | 2010-08-13 |
| 1578750576 | Jason Lang | Psychologist | 65 Kane St, Uchc Dept. of Psychiatry, West Hartford, CT 06119-2110 | 2007-10-03 |
| 1316137060 | Joseph W Tucker | Medical Genetics | 65 Kane St, 2nd Floor Mc 7120, West Hartford, CT 06119-2110 | 2007-07-30 |
| 1699965772 | Sharon S Gray | Dietitian, Registered | 65 Kane St, Genetics, West Hartford, CT 06119-2110 | 2007-07-26 |
| 1669696548 | Suchitra Varma | Internal Medicine | 65 Kane St, Internal Medicine, West Hartford, CT 06119-2110 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063957389 | Hannah Aliberti | Behavioral Analyst | 792 Farmington Ave, West Hartford, CT 06119 | 2016-12-21 |
| 1255752945 | Ctuc01 | Clinic/Center | 1030 Boulevard, West Hartford, CT 06119 | 2013-12-23 |
| 1962757088 | Arman Samad-zadeh | Dentist | 836 Farmington Ave Ste 115, West Hartford, CT 06119 | 2012-07-15 |
| 1356606123 | East West Obgyn | Obstetrics & Gynecology | 836 Farmington Ave. S. 211, West Hartford, CT 06119 | 2012-07-09 |
| 1285901314 | Onyeijen Mgbejume | Pharmacist | 674 Famington Avenue, West Hartford, CT 06119 | 2011-11-17 |
| 1134403553 | Cornelia F Sharrow | Social Worker | 17 South Highland St, West Hartford, CT 06119 | 2011-10-04 |
| 1952613218 | Lauren B Kopyt | Pediatrics | 785 Farmington Avenue, West Hartford, CT 06119 | 2010-07-02 |
| 1043542657 | Leticia Jacquet | Physical Therapist | 1022 Boulevard, #274, West Hartford, CT 06119 | 2010-02-06 |
| 1003051467 | Emily Bevelaqua Pellegrino | Music Therapist | 72 Maplewood Ave, West Hartford, CT 06119 | 2008-12-12 |
| 1124233473 | Theresa M Johnson | Counselor | 361 Park Rd, 3rd Fl, West Hurtford, CT 06119 | 2007-05-11 |
| Find all providers in zip 06119 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467011726 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 333 N Main St Ste 10, West Hartford, CT 06117-2512 | 2019-06-11 |
| 1215402433 | Apnot Better Sleep Centers, Pllc | Durable Medical Equipment & Medical Supplies | 1005 Farmington Ave Ste E, West Hartford, CT 06107-2127 | 2018-10-04 |
| 1093184293 | Mobility Access,llc | Durable Medical Equipment & Medical Supplies | 485 New Park Ave Ste F3, West Hartford, CT 06110-1333 | 2015-09-17 |
| 1316227796 | Tmed Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 141 South St Ste A, West Hartford, CT 06110-1963 | 2011-08-17 |
| 1942326806 | Rebecca A Filkoff | Durable Medical Equipment & Medical Supplies | 9 Oakwood Ave, West Hartford, CT 06119-2128 | 2007-03-22 |
| 1417086810 | Tonmar Enterprises LLC | Durable Medical Equipment & Medical Supplies | 66 Lasalle Rd, West Hartford, CT 06107-2303 | 2007-03-04 |
| 1760587505 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 978 Farmington Ave, West Hartford, CT 06107-2102 | 2006-09-14 |
| 1518061415 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1044 Boulevard, West Hartford, CT 06119-1801 | 2006-09-12 |
| 1629172531 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1240 Farmington Ave, West Hartford, CT 06107-2618 | 2006-09-12 |
| 1013011915 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1099 New Britain Ave, West Hartford, CT 06110-2418 | 2006-09-12 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06119 |
Please comment or provide details below to improve the information on STATE OF CONNECTICUT HEALTH CENTER.
| 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.