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:
Map and Directions
Authorized official contact:
Name: Gonsai, Kishorchandra R Doctor of Medicine (MD)
Phone: (203) 932-5711

Health care specialties

SpecialtyCodeLicense #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 5 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 1295839900 NPPES
Connecticut Other 036772 PHYSICIAN

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