Hartford Healthcare Medical Group Specialists Llc

LBN: Hartford Healthcare Medical Group Specialists Llc
Hartford Healthcare Medical Group Specialists Llc is an health care organization with primary practice located at 85 Seymour St Ste 409 , Hartford CT 06106-5523. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Hartford Healthcare Medical Group Specialists Llc can be contacted via phone (860) 547-0616, or through Vye, Mark Bancroft via phone (860) 972-7858.

Contact Information

Primary practice address
85 Seymour St Ste 409 Hartford CT 06106-5523
Phone: (860) 547-0616
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vye, Mark Bancroft
Phone: (860) 972-7858

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1750934048
LBN Legal business name Hartford Healthcare Medical Group Specialists Llc
DBA Doing business as
Authorized official Vye, Mark Bancroft
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2019
Last updated Jul 17th, 2019 - about 6 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 1750934048 NPPES
Connecticut MEDICAID 008085761

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