Opioid Treatment Program
LBN: Va-Ct Healthcare System
Opioid Treatment Program is an health care organization with primary practice located at 950 Campbell Ave Buld# 36, Mail Code 116 A4, West Haven CT 06516-2770. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
Va-Ct Healthcare System can be contacted via phone (203) 932-5711, or through Gonsai, Kishorchandra R via phone (203) 932-5711.
Contact Information
Primary practice address
950 Campbell Ave Buld# 36, Mail Code 116 A4
West Haven CT 06516-2770
Phone: (203) 932-5711
Fax: (203) 937-3478
Website:
Authorized official contact:
Name: Gonsai, Kishorchandra R Doctor of Medicine (MD)
Phone: (203) 932-5711
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 036772 | Connecticut |
Profile Details
NPI number | 1295839900 |
---|---|
LBN Legal business name | Va-Ct Healthcare System |
DBA Doing business as | Opioid Treatment Program |
Authorized official | Gonsai, Kishorchandra R Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 12th, 2006 |
Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295839900 | NPPES |
Connecticut | Other | 036772 | PHYSICIAN |
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