STATE OF CONNECTICUT HEALTH CENTER (NPI# 1710156849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710156849 |
| Entity Type | Organization |
| Organization Name | STATE OF CONNECTICUT HEALTH CENTER |
| Other Organization Name | DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES |
| Practice Address |
850 Bolton Rd U-85 Storrs Mansfield CT 06269-9020 |
| Mailing Address |
263 Farmington Ave Provider Enrollment - Dowling South Farmington CT 06030-2212 |
| Practice Telephone | 8604862629 |
| Practice Fax Number | 8604865422 |
| Mailing Telephone | 8606797503 |
| Mailing Fax Number | 8606791610 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2013-11-20 |
| Authorized Official Name | DENIS C LAFRENIERE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8606797503 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 032452 | CT | Suppliers |
| Other Name | Type Code |
|---|---|
| Durable Medical Equipment & Medical Supplies | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497055941 | State of Connecticut Health Center | Health Maintenance Organization | 263 Farmington Ave, Mc 5386, Farmington, CT 06030-5386 | 2010-11-01 |
| 1912165945 | State of Connecticut Health Center | Radiology | 263 Farmington Ave, Radiology Hbp Group, Farmington, CT 06030-0001 | 2008-05-27 |
| 1003074030 | State of Connecticut Health Center | Pathology | 263 Farmington Ave, Laboratory Hbp Group, Farmington, CT 06030-0001 | 2008-05-27 |
| 1811155849 | State of Connecticut Health Center | Obstetrics & Gynecology | 263 Farmington Ave, Ob/gyn Hbp Group, Farmington, CT 06030-0001 | 2008-05-27 |
| 1386821882 | State of Connecticut Health Center | Nurse Practitioner | 263 Farmington Ave, Aprn, Orthopaedics, Farmington, CT 06030-0001 | 2008-01-28 |
| 1669656575 | State of Connecticut Health Center | Pediatrics | 263 Farmington Ave, Pediatric Hematology/oncoloty, Farmington, CT 06030-0001 | 2007-12-27 |
| 1104008408 | State of Connecticut Health Center | Internal Medicine | 263 Farmington Ave, Endrocrinology Associates, Farmington, CT 06030-0001 | 2007-11-29 |
| 1295917599 | State of Connecticut Health Center | Internal Medicine | 263 Farmington Ave, Gastroenterology Associates, Farmington, CT 06030-0001 | 2007-11-29 |
| 1528247541 | State of Connecticut Health Center | Durable Medical Equipment & Medical Supplies | 65 Kane St, West Hartford, CT 06119-2110 | 2007-10-26 |
| Street Address |
850 BOLTON RD U-85 |
| City | STORRS MANSFIELD |
| State | CT |
| Zip Code | 06269-9020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407321052 | Kacie Wittke | Speech-Language Pathologist | 850 Bolton Rd, Storrs Mansfield, CT 06269-9020 | 2018-10-10 |
| 1497052385 | Terry O'neill Yanaway | Audiologist | 850 Bolton Rd, Unit 1085, Storrs Mansfield, CT 06269-1085 | 2011-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013422955 | Kathleen Martin | Specialist/Technologist | 505 Jim Calhoun Way, Storrs Mansfield, CT 06269 | 2017-12-13 |
| 1295254340 | Siobhan Ashley Gaston | Nurse Practitioner | 337 Mansfield Rd Unit 1255, Storrs, CT 06269 | 2017-09-10 |
| 1275058802 | Erika Lindsey Vuernick | Pharmacist | 69 N Eagleville Rd Unit 3092, Storrs, CT 06269 | 2017-08-04 |
| 1831722081 | Kirsty Coulter | Student in an Organized Health Care Education/Training Program | 406 Unit 1020 Babbidge Rd, Storrs, CT 06269-0001 | 2020-02-17 |
| 1275175465 | Rolando Rivera | Student in an Organized Health Care Education/Training Program | Storrs Connecticut, Storrs, CT 06269-0001 | 2019-10-09 |
| 1679050744 | Noelle Marie Delorme | Audiologist | U-1085 Bolton Road, Storrs, CT 06269-0001 | 2018-07-23 |
| 1487155248 | Andres Tomas Almeraya | Specialist/Technologist | 2110 Hillside Rd #1078r, Storrs, CT 06269-0001 | 2018-02-26 |
| 1184152795 | Hayley O'connell | Specialist/Technologist | Uconn, Storrs, CT 06269-0001 | 2017-05-25 |
| 1376691550 | Kristine Poet Ridyard | Nurse Practitioner | University of Ct Student Health Services, 234 Glenbrook Drive Unit 2011, Storrs Mansfield, CT 06269-0001 | 2007-01-06 |
| 1871524280 | Martha S Sternberg | Pediatrics | Uconn Student Health Services, 234 Glenbrook Road, Storrs Mansfield, CT 06269-0001 | 2006-07-05 |
| Find all providers in zip 06269 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265536189 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 632 Middle Tpke, Storrs Mansfield, CT 06268-1308 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1801405485 | Hanger Medical | Durable Medical Equipment & Medical Supplies | 100 Retreat Ave Ste 800, Hartford, CT 06106-2528 | 2020-07-29 |
| 1184232985 | Dragon Medical Equipment Corp | Durable Medical Equipment & Medical Supplies | 12 Goose Ln Unit J, Tolland, CT 06084-3400 | 2020-07-17 |
| 1083232300 | Stephen Brody | Durable Medical Equipment & Medical Supplies | 127 Franklin St, Waterbury, CT 06706-1233 | 2020-07-13 |
| 1679191225 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 705 Bridgeport Ave, Shelton, CT 06484-4704 | 2020-07-10 |
| 1164044244 | Cabea, LLC | Durable Medical Equipment & Medical Supplies | 210 Holabird Ave # 204, Winsted, CT 06098-1747 | 2020-05-12 |
| 1447870472 | Jorani Raw Hair | Durable Medical Equipment & Medical Supplies | 100 Wolfpit Ave Apt 1, Norwalk, CT 06851-3438 | 2020-04-20 |
| 1083233779 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 331 Wethersfield Ave Rm 149, Hartford, CT 06114-1420 | 2020-04-13 |
| 1821625088 | Sterling Medical LLC | Durable Medical Equipment & Medical Supplies | 272 Hyland Ter, Orange, CT 06477-1107 | 2020-03-26 |
| 1215564646 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1245 Dixwell Ave, Hamden, CT 06514-4132 | 2020-03-25 |
| Find all providers with the same taxonomy | ||||
| City | STORRS MANSFIELD |
| Zip Code | 06269 |
Please comment or provide details below to improve the information on STATE OF CONNECTICUT HEALTH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.