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HARTFORD DISPENSARY NPI 1730202516


NPI Information

NPI: 1730202516
Provider Name: HARTFORD DISPENSARY

Other Name: MTA 12-14 WESTON

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
345 MAIN ST
HARTFORD, CT
ZIP 06106
Phone: (860) 525-2181
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HARTFORD DISPENSARY is a methadone clinic center in Hartford, CT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. HARTFORD DISPENSARY NPI is 1730202516. The provider is registered as an organization entity type.
The provider Other Name Is Mta 12-14 Weston.

The provider's business location address is:

345 MAIN ST
HARTFORD, CT
ZIP 06106-824
Phone: (860) 525-2181

The provider's authorized official is Paul Mclaughlin .
The authorized official title is Executive Director and has the following contact phone number (860) 525-2181.

The enumeration date for this NPI number is 4/9/2007 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
1261QM2800XClinic/CenterMethadoneSA-0036CONNECTICUTYes

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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