Provider Demographics
NPI:1821275728
Name:HEALTH NET OF CONNECTICUT, INC.
Entity Type:Organization
Organization Name:HEALTH NET OF CONNECTICUT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, HEALTH NET, NORTHEAST
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:S
Authorized Official - Last Name:LAMBDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-225-8168
Mailing Address - Street 1:ONE FAR MILL CROSSING
Mailing Address - Street 2:MAIL STOP: CT-900-02-07
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-6121
Mailing Address - Country:US
Mailing Address - Phone:800-848-4747
Mailing Address - Fax:610-768-0288
Practice Address - Street 1:ONE FAR MILL CROSSING
Practice Address - Street 2:MAIL STOP: CT-900-02-07
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-6121
Practice Address - Country:US
Practice Address - Phone:800-848-4747
Practice Address - Fax:610-768-0288
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH NET, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization