STATE OF CONNECTICUT (NPI# 1871095851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871095851 |
| Entity Type | Organization |
| Organization Name | STATE OF CONNECTICUT |
| Other Organization Name | UCONN HEALTH ANCILLARY SERVICES |
| Practice Address |
850 Bolton Rd Unit 1271 Storrs CT 06269-1271 |
| Mailing Address |
263 Farmington Ave Farmington CT 06030-0001 |
| Practice Telephone | 8604863108 |
| Mailing Telephone | 8606797835 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2019-02-26 |
| Authorized Official Name | MR. MORGAN A HILLS (SR. DIRECTOR OF HOSPITAL OPERATIONS) |
| Authorized Official Telephone | 8606797835 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF CONNECTICUT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
CT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| UConn Health Ancillary Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1790974657 | State of Connecticut | Durable Medical Equipment & Medical Supplies | 381 Hopmeadow Street, Simsbury, CT 06070 | 2007-10-17 |
| 1205951662 | State of Connecticut | Skilled Nursing Facility | 287 West Street, Rocky Hill, CT 06067-3904 | 2007-03-21 |
| 1750459855 | State of Connecticut | Psychiatric Residential Treatment Facility | 915 River Road, Middletown, CT 06457-3921 | 2006-11-30 |
| 1427074426 | State of Connecticut | Clinic/Center | Silver Street, Dutton Home, Middletown, CT 06457 | 2006-07-14 |
| 1366477903 | State of Connecticut | Psychiatric Hospital | 525 Russell Rd, Newington, CT 06111 | 2006-07-12 |
| 1487689022 | State of Connecticut | Clinic/Center | 500 Vine Street, Hartford, CT 06112 | 2006-07-12 |
| 1841225489 | State of Connecticut | Clinic/Center | 55 West Main Street, Suite 410 Rowland State Government Center, Waterbury, CT 06702 | 2006-07-12 |
| 1225063860 | State of Connecticut | Clinic/Center | 2 Vance Drive Russell Hall, Connecticut Valley Hospital, Middletown, CT 06457 | 2006-07-12 |
| 1871524678 | State of Connecticut | Ambulance | Route 172, Dept of Mental Retardation: Southbury Training School, Southbury, CT 06488-0901 | 2006-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STATE OF CONNECTICUT DMR | 460 Capitol Ave, Hartford, CT 06106-1308 |
| Street Address |
850 BOLTON RD UNIT 1271 |
| City | STORRS |
| State | CT |
| Zip Code | 06269-1271 |
| 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 | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871542316 | University Standing Open Mri of New Haven, LLC | Clinic/Center | 216 Crown St, New Haven, CT 06510-2705 | 2006-05-10 |
| 1447408299 | Tolland Imaging Center, LLC | Clinic/Center | 6 Fieldstone Cmns, Suite E, Tolland, CT 06084-3419 | 2008-09-05 |
| 1184840845 | Connecticut Orthopaedic Specialists, PC | Clinic/Center | 2416 Whitney Ave, Hamden, CT 06518-3248 | 2007-04-18 |
| 1003820911 | Advanced Radiology Mri Centers, Lp | Clinic/Center | 3 Enterprise Dr, Suite 220, Shelton, CT 06484-7620 | 2006-07-28 |
| 1245252824 | Diagnostic Imaging of Southbury | Clinic/Center | 385 Main St South, Nvra Union Square Bldg 2, Southbury, CT 06488 | 2006-07-24 |
| 1154343739 | Prospect Diagnostic Imaging | Clinic/Center | 166 Waterbury Road, Rte 69, Prospect, CT 06712 | 2006-07-24 |
| 1972552768 | Paul A. Aiello, Md, PC | Clinic/Center | 46 Prince St, Suite 109, New Haven, CT 06519-1600 | 2006-05-09 |
| 1386637742 | Saint Raphael Mr Center | Clinic/Center | 330 Orchard St, New Haven, CT 06511-4417 | 2005-08-31 |
Please comment or provide details below to improve the information on STATE OF CONNECTICUT.
| 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.