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CONNECTICUT SUPPORT SERVICES LLC NPI 1992709307


NPI Information

NPI: 1992709307
Provider Name: CONNECTICUT SUPPORT SERVICES, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

CLIA Number: 07D2218532

Address:
444 EAST ST
PLAINVILLE, CT
ZIP 06062
Phone: (860) 793-6843
Get Directions

CONNECTICUT SUPPORT SERVICES, LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Plainville, CT. CONNECTICUT SUPPORT SERVICES, LLC NPI is 1992709307. The provider is registered as an organization entity type.

The provider's business location address is:

444 EAST ST
PLAINVILLE, CT
ZIP 06062-261
Phone: (860) 793-6843
Fax: (860) 747-1266

The provider's authorized official is Craig Alan Dutcher .
The authorized official title is Member and has the following contact phone number (860) 793-6843.

The CLIA number assigned to this NPI record is 07D2218532 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 8/22/2020.


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
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesYes
2332B00000XDurable Medical Equipment & Medical SuppliesX
3332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentX
4332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility SuppliesX
5332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionX

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
112DME0553CT01OTHERCONNECTICUTBLUE CROSS BLUE SHIELD

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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