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/WAYFARING MINISTRIES NPI 1891199931


NPI Information

NPI: 1891199931
Provider Name: /WAYFARING MINISTRIES
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
29R MARNE ST REAR
HAMDEN, CT
ZIP 06514
Phone: (203) 533-9512
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/WAYFARING MINISTRIES is a point of service in Hamden, CT. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. /WAYFARING MINISTRIES NPI is 1891199931. The provider is registered as an organization entity type.

The provider's business location address is:

29R MARNE ST REAR
HAMDEN, CT
ZIP 06514-628
Phone: (203) 533-9512
Fax: (203) 248-4572

The provider's authorized official is Roger Johnson .
The authorized official title is Administrator and has the following contact phone number (203) 533-9512.

The enumeration date for this NPI number is 10/17/2014 and was last updated on 10/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization003563CONNECTICUTNo
2305S00000XPoint of Service003563CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003563MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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