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HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC NPI 1750934048


NPI Information

NPI: 1750934048
Provider Name: HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
85 SEYMOUR ST STE 409
HARTFORD, CT
ZIP 06106
Phone: (860) 547-0616
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HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC is a durable medical equipment medical supplies in Hartford, CT. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC NPI is 1750934048. The provider is registered as an organization entity type.

The provider's business location address is:

85 SEYMOUR ST STE 409
HARTFORD, CT
ZIP 06106-523
Phone: (860) 547-0616

The provider's authorized official is Mark Bancroft Vye .
The authorized official title is Vp, Administration and has the following contact phone number (860) 972-7858.

The enumeration date for this NPI number is 7/17/2019 and was last updated on 7/17/2019.


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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

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
1008085761MEDICAIDCONNECTICUT

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: 11/14/2023

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