Family Medicine Center At East Hartford

LBN: Asylum Hill Family Medicine Center Inc
Family Medicine Center At East Hartford is an health care organization with primary practice located at 99 Woodland St , Hartford CT 06105-1207. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Asylum Hill Family Medicine Center Inc can be contacted via phone (860) 714-4212, or through Sobchuk, Lisa A via phone (860) 714-6594.

Contact Information

Primary practice address
99 Woodland St Hartford CT 06105-1207
Phone: (860) 714-4212
Fax: (860) 714-8080
Website:
Map and Directions
Authorized official contact:
Name: Sobchuk, Lisa A
Phone: (860) 714-6594

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1083660096
LBN Legal business name Asylum Hill Family Medicine Center Inc
DBA Doing business as Family Medicine Center At East Hartford
Authorized official Sobchuk, Lisa A
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Aug 24th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083660096 NPPES
Connecticut MEDICAID 4139962

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