CONNECTICUT GENERAL LIFE INSURANCE COMPANY (NPI# 1851716195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851716195 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT GENERAL LIFE INSURANCE COMPANY |
| Other Organization Name | CIGNA ONSITE HEALTH, LLC; INTERFACE-LAGRANGE |
| Practice Address |
1503 Orchard Hill Rd Lagrange GA 30240-5709 |
| Mailing Address |
25500 N Norterra Dr Phoenix AZ 85085-8200 |
| Practice Telephone | 7068126131 |
| Mailing Telephone | 8777331710 |
| Mailing Fax Number | 6232771091 |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |
| Authorized Official Name | STACEY POPKO (MEDICAL SENIOR DIRECTOR) |
| Authorized Official Telephone | 4127474128 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cigna Onsite Health, LLC; Interface-LaGrange | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932552676 | Connecticut General Life Insurance Company | Clinic/Center | 7 Volvo Dr, Rockleigh, NJ 07647-2507 | 2016-07-18 |
| 1376929216 | Connecticut General Life Insurance Company | Clinic/Center | 116 S Zack Hinton Pkwy, Mcdonough, GA 30253-3353 | 2015-08-03 |
| 1053707208 | Connecticut General Life Insurance Company | Clinic/Center | 8620 Spectrum Center Blvd, San Diego, CA 92123-1406 | 2015-04-14 |
| 1982020061 | Connecticut General Life Insurance Company | Clinic/Center | 1 Riverboat Dr, North Kansas City, MO 64116-3267 | 2014-03-12 |
| 1336564673 | Connecticut General Life Insurance Company | Clinic/Center | 1200 Og Skinner Dr, West Point, GA 31833-1771 | 2014-02-24 |
| 1760920060 | Connecticut General Life Insurance Company | Clinic/Center | 530 Great Circle Rd, Nashville, TN 37228-1309 | 2017-02-07 |
| 1669922324 | Connecticut General Life Insurance Company | Clinic/Center | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2016-10-06 |
| 1396192290 | Connecticut General Life Insurance Company | Clinic/Center | 1000 Broadway St, Cincinnati, OH 45202-1364 | 2016-05-20 |
| 1255757332 | Connecticut General Life Insurance Company | Clinic/Center | 777 Casino Center Dr, Hammond, IN 46320-1003 | 2014-03-12 |
| 1619393790 | Connecticut General Life Insurance Company | Clinic/Center | 1000 Broadway St, Cincinnati, OH 45202-1364 | 2014-03-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | 900 Cottage Grove Road, Broomfield, CT 06002 |
| Virginia Business Entities | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | 900 Cottage Grove Rd, Bloomfield, Connecticut 06002 |
| Street Address |
1503 ORCHARD HILL RD |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-5709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518373059 | Madelyn Almonte | Physician Assistant | 1503 Orchard Hill Rd, Lagrange, GA 30240-5709 | 2014-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760709364 | Ant Mary's Family Care #1 | Clinic/Center | 104 West James Street, Ant Mary's Family Care Home #1, Lagrange, NC 28551-3770 | 2010-04-23 |
| 1679132922 | Judy B Bain | Clinic/Center | 104 Harwell Ave Ste 236, Lagrange, GA 30240-3132 | 2019-06-11 |
| 1013283563 | Wolf Specific, Inc | Clinic/Center | 1697 Vernon Rd Ste A, Lagrange, GA 30240-4180 | 2012-03-29 |
| 1831411008 | Jm Group Services Corp | Clinic/Center | 2170 W Point Rd, Suite 25, Lagrange, GA 30240-4007 | 2010-02-15 |
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| 1134741580 | Knowles Exams & More | Clinic/Center | 123 Glyndale Dr Ste 107, Brunswick, GA 31520-1404 | 2020-05-08 |
| 1558981985 | Elite Mens' Health, LLC | Clinic/Center | 3361 Nottinghill Ln, Valdosta, GA 31605-5874 | 2020-04-27 |
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| Find all providers with the same taxonomy | ||||
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| 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.