GROVE HILL MEDICAL CENTER PC (NPI# 1770659401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770659401 |
| Entity Type | Organization |
| Organization Name | GROVE HILL MEDICAL CENTER PC |
| Practice Address |
360 North Main Street Grove Hill Medical Center Southington CT 06489 |
| Mailing Address |
300 Kensington Ave Grove Hill Medical Center New Britain CT 06051 |
| Practice Telephone | 8606284719 |
| Practice Fax Number | 8603484854 |
| Mailing Telephone | 8608016759 |
| Mailing Fax Number | 8603484873 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2015-01-28 |
| NPI Deactivation Date | 03/28/2014 |
| NPI Reactivation Date | 2015-01-28 |
| Authorized Official Name | MICHAEL G GENOVESI (AUTHORIZED OFFICIAL/PRES) |
| Authorized Official Telephone | 8602246266 |
| 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 | CT | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316130180 | Grove Hill Medical Center PC | Durable Medical Equipment & Medical Supplies | 621 Terryville Rd, Grove Hill Medical Center., Bristol, CT 06010-4078 | 2007-08-24 |
| 1689740300 | Grove Hill Medical Center PC | Durable Medical Equipment & Medical Supplies | 136 Berlin Rd Suite 102, Grove Hill Medical Center, Cromwell, CT 06416 | 2006-11-27 |
| 1558637256 | Grove Hill Medical Center PC | Durable Medical Equipment & Medical Supplies | 375 Willard Ave, Grove Hill Medical Center, Newington, CT 06111-2300 | 2012-03-27 |
| 1962678169 | Grove Hill Medical Center PC | Radiology | 300 Kensington Ave, New Britain, CT 06051-3916 | 2008-05-07 |
| 1164590477 | Grove Hill Medical Center PC | Durable Medical Equipment & Medical Supplies | 300 Kensington Ave, Grove Hill Medical Center, New Britain, CT 06051-3916 | 2006-12-04 |
| 1235207549 | Grove Hill Medical Center PC | Durable Medical Equipment & Medical Supplies | 1 Lake St, Grove Hill Medical Center, New Britain, CT 06052-1396 | 2006-12-04 |
| Street Address |
360 NORTH MAIN STREET GROVE HILL MEDICAL CENTER |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087783 | Shankar Panwar | Counselor | K 11, 1783 Meriden Waterbury Tpke, Southington, CT 06489 | 2020-03-06 |
| 1235771056 | Kathleen Rebecca Mckinney | Music Therapist | 196 Queen St., Southington, CT 06489 | 2019-10-14 |
| 1336700103 | Julie Amanda Nichols | Behavioral Analyst | 1842 Meriden-waterbury Turnpike, Southington, CT 06489 | 2019-06-24 |
| 1396238960 | Kriston Ronalter | Physician Assistant | 775 Queen Street, Southington, CT 06489 | 2018-06-08 |
| 1366933582 | Cj's Counseling, LLC | Counselor | 17 Meriden Ave Ste 1a, Southington, CT 06489 | 2018-05-23 |
| 1104329887 | Koby Douglas Fowler | Chiropractor | 1095 West St Unit 1, Southington, CT 06489 | 2018-03-09 |
| 1447763131 | Samreen, LLC | Clinic/Center | 775 Queen St, Suite 2, Southington, CT 06489 | 2017-11-16 |
| 1902320724 | Michael Petit | Physical Therapist | 98 Main Street, 202, Southington, CT 06489 | 2017-08-02 |
| 1457712127 | Leslie Mclaughlin | Speech-Language Pathologist | 400 Flanders Rd, Southington, CT 06489 | 2016-03-09 |
| 1306219159 | Breanne Schnepf-hanbury | Counselor | 26 N Main St Ste 2b, Southington, CT 06489 | 2015-11-02 |
| Find all providers in zip 06489 | ||||
| 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 |
|---|---|---|---|---|
| 1164659165 | Rite Aid of Connecticut, Inc. | Durable Medical Equipment & Medical Supplies | 500 Queen Street, Southington, CT 06489-1801 | 2009-06-17 |
| 1457509457 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2100 Killingly Commons, Southington, CT 06489 | 2008-09-03 |
| 1740385582 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 724 Queens St, Edwards Plz, Southington, CT 06489-1505 | 2006-09-14 |
| 1184730814 | Dca Inc | Durable Medical Equipment & Medical Supplies | 609 N Main St, Southington, CT 06489-2051 | 2006-08-23 |
| 1255358545 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 235 Queen St, Southington, CT 06489-1915 | 2006-07-16 |
| 1396268355 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 167 Main St, Southington, CT 06489-2505 | 2017-07-21 |
| 1184047854 | Drs Welch & Riddle | Durable Medical Equipment & Medical Supplies | 231 Main St, Southington, CT 06489-2507 | 2014-01-30 |
| 1972607877 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 326 Main St, Southington, CT 06489-2508 | 2006-09-12 |
| 1740399120 | Rite Aid of Connecticut Inc | Durable Medical Equipment & Medical Supplies | 167 Main Street, Southington, CT 06489-2505 | 2006-08-30 |
| 1427063775 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 359 Main St, Southington, CT 06489-4538 | 2006-07-29 |
| Find all providers in SOUTHINGTON | ||||
| City | SOUTHINGTON |
| Zip Code | 06489 |
Please comment or provide details below to improve the information on GROVE HILL MEDICAL CENTER PC.
| 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.