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JOHNSON MEMORIAL HOSPITAL INC. NPI 1932123569


NPI Information

NPI: 1932123569
Provider Name: JOHNSON MEMORIAL HOSPITAL, INC.
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 07D0644540

Address:
201 CHESTNUT HILL ROAD
STAFFORD SPRINGS, CT
ZIP 06076
Phone: (860) 684-4251
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JOHNSON MEMORIAL HOSPITAL, INC. is a general acute care hospital in Stafford Springs, CT. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. JOHNSON MEMORIAL HOSPITAL, INC. NPI is 1932123569. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

201 CHESTNUT HILL ROAD
STAFFORD SPRINGS, CT
ZIP 06076-860
Phone: (860) 684-4251

The provider's authorized official is Stuart E. Rosenberg .
The authorized official title is President and has the following contact phone number (860) 684-8235.

The CLIA number assigned to this NPI record is 07D0644540 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 10/26/2016.


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
1208D00000XGeneral Practice0072CONNECTICUTNo
2282N00000XGeneral Acute Care Hospital0072CONNECTICUTYes

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
14041687MEDICAIDCONNECTICUT
2070008MEDICARE OSCAR/CERTIFICATIONCONNECTICUT
34024980MEDICAIDCONNECTICUT

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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