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ASYLUM HILL FAMILY MEDICINE CENTER INC NPI 1083660096


NPI Information

NPI: 1083660096
Provider Name: ASYLUM HILL FAMILY MEDICINE CENTER INC

Doing Business As: FAMILY MEDICINE CENTER AT EAST HARTFORD

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 07D0094093

Address:
99 WOODLAND ST
HARTFORD, CT
ZIP 06105
Phone: (860) 714-4212
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ASYLUM HILL FAMILY MEDICINE CENTER INC is a family medicine in 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. ASYLUM HILL FAMILY MEDICINE CENTER INC NPI is 1083660096. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Medicine Center At East Hartford.

The provider's business location address is:

99 WOODLAND ST
HARTFORD, CT
ZIP 06105-207
Phone: (860) 714-4212
Fax: (860) 714-8080

The provider's authorized official is Lisa A Sobchuk .
The authorized official title is Is/billing Manager and has the following contact phone number (860) 714-6594.

The CLIA number assigned to this NPI record is 07D0094093 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/25/2006 and was last updated on 8/24/2021.


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
1103TC0700XPsychologistClinicalNo
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistNo
4207QS0010XFamily MedicineSports MedicineNo
5208000000XPediatricsNo
6207Q00000XFamily MedicineYes

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
14139962MEDICAIDCONNECTICUT

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.