Cancer Center Of Central Connecticut Llc

LBN: Cancer Center Of Central Connecticut Llc
Cancer Center Of Central Connecticut Llc is an health care organization with primary practice located at 55 Meriden Ave , Southington CT 06489-3237. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Cancer Center Of Central Connecticut Llc can be contacted via phone (860) 621-9316, or through Hansen, Susan via phone (860) 621-9316.

Contact Information

Primary practice address
55 Meriden Ave Southington CT 06489-3237
Phone: (860) 621-9316
Fax: (860) 620-5526
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Susan
Phone: (860) 621-9316

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1588618185
LBN Legal business name Cancer Center Of Central Connecticut Llc
DBA Doing business as
Authorized official Hansen, Susan
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Oct 21st, 2013 - about 12 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 1588618185 NPPES
Connecticut MEDICAID 004178209

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