NPI 1497055941

State of Connecticut Health Center

Organisation Health Maintenance Organization Farmington, CT

Practice location

Address: 263 Farmington Ave Mc 5386, Farmington, CT 06030-5386
Phone: (860) 679-5500
Fax: (860) 676-3415

Authorised official

Name: Gail Johnson
Title: Director of Administrative Services
Phone: (860) 679-5536

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Connecticut →

Registry record

NPI: 1497055941
Entity type: Organization
NPI issued: 1 Nov 2010
Record last updated: 1 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.