Eastconn

LBN: Eastconn
Eastconn is an health care organization with primary practice located at 376 Hartford Tpke , Hampton CT 06247-1320. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Eastconn can be contacted via phone (860) 455-0707, or through Carver, Mandy via phone (860) 455-1590.

Contact Information

Primary practice address
376 Hartford Tpke Hampton CT 06247-1320
Fax: (860) 455-8002
Website:
Authorized official contact:
Name: Carver, Mandy

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1811132103
LBN Legal business name Eastconn
DBA Doing business as
Authorized official Carver, Mandy
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2008
Last updated Aug 17th, 2022 - 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 1811132103 NPPES
Connecticut MEDICAID 004185866

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