| John Dempsey Hospital- Subprovider | |
|
263 Farmington Avenue Farmington CT 06030-5355 | |
| (860) 679-2916 | |
| (860) 679-3071 |
| Full Name | John Dempsey Hospital- Subprovider |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 263 Farmington Avenue, Farmington, Connecticut |
| Authorized Official Name and Position | John Biancamano (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8606791145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Dempsey Hospital- Subprovider 263 Farmington Avenue Farmington CT 06030-5355 Ph: (860) 679-2916 | John Dempsey Hospital- Subprovider 263 Farmington Avenue Farmington CT 06030-5355 Ph: (860) 679-2916 |
| NPI Number | 1902891682 |
|---|---|
| Provider Enumeration Date | 09/19/2005 |
| Last Update Date | 06/17/2009 |
| Medicare PECOS PAC ID | 8022915677 |
|---|---|
| Medicare Enrollment ID | O20111229000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902891682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 00065 (Connecticut) | Primary |
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