West Hartford Medical Center
LBN: West Hartford Medical Center
West Hartford Medical Center is an health care organization with primary practice located at 74 Park Rd Ste 4 , West Hartford CT 06119-1898. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
West Hartford Medical Center can be contacted via phone (860) 218-1725, or through Jaquez, Angel C. via phone (860) 218-1725.
Contact Information
Primary practice address
74 Park Rd Ste 4
West Hartford CT 06119-1898
Phone: (860) 218-1725
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X |
Profile Details
| NPI number | 1942533039 |
|---|---|
| LBN Legal business name | West Hartford Medical Center |
| DBA Doing business as | |
| Authorized official | Jaquez, Angel C. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 8th, 2009 |
| Last updated | Dec 18th, 2012 - about 12 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 | 1942533039 | NPPES |
| Connecticut | MEDICAID | 008022952 | |
| Connecticut | MEDICAID | 6464646 |
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