Provider Demographics
NPI:1235131442
Name:VASSAR HEALTH CONNECTICUT, INC.
Entity Type:Organization
Organization Name:VASSAR HEALTH CONNECTICUT, INC.
Other - Org Name:SHARON HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCIAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BACHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-475-9537
Mailing Address - Street 1:50 HOSPITAL HILL RD
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:CT
Mailing Address - Zip Code:06069-2096
Mailing Address - Country:US
Mailing Address - Phone:860-364-4084
Mailing Address - Fax:860-364-4011
Practice Address - Street 1:50 HOSPITAL HILL RD
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:CT
Practice Address - Zip Code:06069
Practice Address - Country:US
Practice Address - Phone:860-364-4084
Practice Address - Fax:860-364-4011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0071282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008074565Medicaid
NY02255392Medicaid
CT008074564Medicaid
CT4221800Medicaid