John J Allison Polaris Center

LBN: Capitol Region Education Council
John J Allison Polaris Center is an health care organization with primary practice located at 474 School Street , East Hartford CT 06108-1149. The organization recently has 4 registered licenses in different health care specialties including Agencies / Local Education Agency (LEA), Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Health Service. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Capitol Region Education Council can be contacted via phone (860) 289-8131, or through Tartaglia, Heather via phone (860) 509-3732.

Contact Information

Primary practice address
474 School Street East Hartford CT 06108-1149
Fax: (860) 289-0090
Website:
Authorized official contact:
Name: Tartaglia, Heather

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X
Agencies / Local Education Agency (LEA) 251300000X 0413 Connecticut
Agencies / Community/Behavioral Health 251S00000X 0413 Connecticut
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 0413 Connecticut
Ambulatory Health Care Facilities / Health Service 261QH0100X 0413 Connecticut

Profile Details

NPI number 1376677146
LBN Legal business name Capitol Region Education Council
DBA Doing business as John J Allison Polaris Center
Authorized official Tartaglia, Heather
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Jun 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 1376677146 NPPES
Connecticut MEDICAID 004250594
Connecticut MEDICAID 008090417
Connecticut Other 0413

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