WEST HARTFORD MEDICAL CENTER NPI 1942533039

NPI Information

NPI: 1942533039
Provider Name: WEST HARTFORD MEDICAL CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 07D2003039

Address:
74 PARK RD STE 4
WEST HARTFORD, CT
ZIP 06119
Phone: (860) 218-1725
Get Directions

WEST HARTFORD MEDICAL CENTER is a family medicine in West Hartford, CT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WEST HARTFORD MEDICAL CENTER NPI is 1942533039. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

74 PARK RD STE 4
WEST HARTFORD, CT
ZIP 06119-898
Phone: (860) 218-1725

The provider's authorized official is Angel C. Jaquez .
The authorized official title is Director and has the following contact phone number (860) 218-1725.

The CLIA number assigned to this NPI record is 07D2003039 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2009 and was last updated on 12/18/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208100000X	Physical Medicine & Rehabilitation				No
2	207Q00000X	Family Medicine				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	008022952	MEDICAID	CONNECTICUT
2	D100015554	MEDICARE UPIN	CONNECTICUT
3	6464646	MEDICAID	CONNECTICUT

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

NPI Synchronization or Removal

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