DAY KIMBALL HEALTHCARE INC. NPI 1265540967

NPI Information

NPI: 1265540967
Provider Name: DAY KIMBALL HEALTHCARE, INC.
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
320 POMFRET ST
PUTNAM, CT
ZIP 06260
Phone: (860) 928-6541
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DAY KIMBALL HEALTHCARE, INC. is a community health clinic center in Putnam, CT. DAY KIMBALL HEALTHCARE, INC. NPI is 1265540967. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

320 POMFRET ST
PUTNAM, CT
ZIP 06260-836
Phone: (860) 928-6541
Fax: (860) 928-5341

The provider's authorized official is Annemarie H Diamond .
The authorized official title is President/ceo and has the following contact phone number (860) 928-6541.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 11/17/2017.

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	133V00000X	Dietitian, Registered		0043	CONNECTICUT	No
2	176B00000X	Midwife				No
3	207Q00000X	Family Medicine		0043	CONNECTICUT	No
4	207R00000X	Internal Medicine		0043	CONNECTICUT	No
5	207RG0300X	Internal Medicine	Geriatric Medicine	0043	CONNECTICUT	No
6	207RH0003X	Internal Medicine	Hematology & Oncology	0043	CONNECTICUT	No
7	207RP1001X	Internal Medicine	Pulmonary Disease	0043	CONNECTICUT	No
8	207V00000X	Obstetrics & Gynecology		0043	CONNECTICUT	No
9	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	0043	CONNECTICUT	No
10	208000000X	Pediatrics		0043	CONNECTICUT	No
11	261QC1500X	Clinic/Center	Community Health	0043	CONNECTICUT	Yes
12	363L00000X	Nurse Practitioner				No
13	363LG0600X	Nurse Practitioner	Gerontology			No
14	363LP0200X	Nurse Practitioner	Pediatrics			No

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	C03448	MEDICARE PIN	CONNECTICUT
2	DE9190	MEDICARE PIN	CONNECTICUT
3	004024931	MEDICAID	CONNECTICUT
4	CC4047	MEDICARE PIN	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: 5/5/2024

NPI Synchronization or Removal

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