Provider Demographics
NPI:1508928615
Name:THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY
Entity Type:Organization
Organization Name:THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY
Other - Org Name:THE HOSPITAL OF CENTRAL CONNECTICUT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:JANATKA
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:2006-12-14
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004025243OtherBEH HLTH PARTNERSHIP OP
FL092132700Medicaid
CT900050OtherCONNECTICARE INSURANCE
CTIV1010OtherHEALTHNET INSURANCE
CTCTGA001016OtherADV BEH HEALTH
CTH02258OtherOXFORD INSURANCE
CT004025243OtherSAGA OUTPT
CT344791OtherWELLCARE MEDICARE
CT4025243Medicaid
CT4041950Medicaid
CT004041950OtherBEH HLTH PARTNERSHIP INPT
CT95BOtherBLUE CROSS
CT004041950OtherSAGA INPT
NY00428753Medicaid
CT2035717OtherCIGNA BEHAVIORHAL HEALTH
CT95GOtherBC FAMILYPLAN
CT95GOtherANTHEM BEH HEALTH
CT004041950OtherSAGA INPT