Provider Demographics
NPI:1437187291
Name:NEW BRITAIN GENERAL HOSPITAL
Entity Type:Organization
Organization Name:NEW BRITAIN GENERAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SILVIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-224-5900
Mailing Address - Street 1:100 GRAND ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-2016
Mailing Address - Country:US
Mailing Address - Phone:860-224-5011
Mailing Address - Fax:860-224-5740
Practice Address - Street 1:100 GRAND ST
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-2016
Practice Address - Country:US
Practice Address - Phone:860-224-5011
Practice Address - Fax:860-224-5740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0052261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT2035717OtherCIGNA BEHAVIORAL HEALTH
CT4025243Medicaid
CT900050OtherCONNECTICARE INSURANCE
CTIR0093OtherHEALTHNET INSURANCES
CT015OtherBLUE CROSS
CTCTGA000533OtherADV BEH HEALTH
CT004025243OtherBEH HLTH PARTNERSHIP OP
CT004041950OtherSAGA INPT
NY00428753Medicaid
CT40419500000OtherBC FAMILY PLAN
CT4041950Medicaid
CT004025243OtherSAGA OUTPT
CT004041950OtherBEH HLTH PARTNERSHIP INPT
FL092132700Medicaid
CT15BOtherBC BEHAVIORAL HEALTH
CT402524300000OtherBC FAMILY PLAN OUTPATIENT
CTH02258OtherOXFORD INSURANCE
FL092132700Medicaid