CONNECTICUT GENERAL LIFE INSURANCE COMPANY (CGLIC) (NPI# 1982979241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982979241 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT GENERAL LIFE INSURANCE COMPANY (CGLIC) |
| Other Organization Name | CIGNA ONSITE HEALTH, LLC |
| Practice Address |
711 Horseshoe Blvd Bossier City LA 71111-4472 |
| Mailing Address |
25500 N Norterra Dr Phoenix AZ 85085-8200 |
| Practice Telephone | 3187417894 |
| Mailing Telephone | 8777331710 |
| Mailing Fax Number | 6232771091 |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |
| Authorized Official Name | MICHAEL SLICE (VICE PRESIDENT) |
| Authorized Official Telephone | 6232772351 |
| Authorized Official Credential | RPH |
| 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 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972932648 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 1039 S State Road 7, Wellington, FL 33414-9367 | 2013-11-04 |
| 1174950307 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 7101 Metro Blvd, Minneapolis, MN 55439-2117 | 2013-10-02 |
| 1932468360 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 395 Mt. View, Industrial Drive, Morrison, TN 37357 | 2012-05-04 |
| 1699040956 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 2701 23rd Ave, Council Bluffs, IA 51501-6958 | 2012-03-19 |
| 1295022234 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 1 Reynolds Way, Kettering, OH 45430-1586 | 2011-06-28 |
| 1457655177 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 3100 Albert Lankford Dr, Lynchburg, VA 24501-4948 | 2011-01-10 |
| 1124340617 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 101 Yorkshire Blvd, Lexington, KY 40509-1883 | 2010-02-24 |
| 1053566588 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 1601 Chestnut St, Tl04b, Philadelphia, PA 19192-0003 | 2008-11-25 |
| 1497904155 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 7555 Goodwin Rd, Chattanooga, TN 37421-3183 | 2008-09-17 |
| 1497904148 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 53 Glenmaura National Blvd, Scranton, PA 18507-2132 | 2008-09-17 |
| Street Address |
711 HORSESHOE BLVD |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-4472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| 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 |
|---|---|---|---|---|
| 1346777653 | Abundance Care, Family Practice Clinic | Clinic/Center | 105 Lancashire Dr, Bossier City, LA 71111-2022 | 2017-05-17 |
| 1912201435 | Dave Prakash | Clinic/Center | 5526 Lake Side Dr, Bossier City, LA 71111-5504 | 2010-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432970 | Genetics Collection LLC | Clinic/Center | 214 W 70th St Ste 205, Shreveport, LA 71106-3756 | 2020-09-17 |
| 1518570688 | Delta Med Clinic LLC | Clinic/Center | 1305 Fourth St, Jonesville, LA 71343-2123 | 2020-08-28 |
| 1710599089 | Elite Healthcare Providers | Clinic/Center | 39067 Prairie North Dr, Gonzales, LA 70737-9506 | 2020-08-18 |
| 1548879034 | Mercy Medical Health Center | Clinic/Center | 4629 Quitman Hwy, Hodge, LA 71247 | 2020-07-30 |
| 1699383026 | New Orleans Women's Wellness LLC | Clinic/Center | 535 S Galvez St, New Orleans, LA 70119-7011 | 2020-07-22 |
| 1992322010 | Tyra Cole | Clinic/Center | 405 Gretna Blvd Ste 112, Gretna, LA 70053-4945 | 2020-07-06 |
| 1124645130 | Bayou Telemedicine LLC | Clinic/Center | 1703 Arizona Ave, Monroe, LA 71202-3632 | 2020-06-26 |
| 1699392589 | Minden Physician Practices LLC | Clinic/Center | 170 Healthcare Plaza, Haughton, LA 71037 | 2020-06-26 |
| 1245853803 | Alexandria Primary Care Clinic | Clinic/Center | 224 Pecan Park Ave Rm B1, Alexandria, LA 71303-3308 | 2020-05-18 |
| 1326676479 | Royal Health & Wellness Clinic LLC | Clinic/Center | 108 Riverbirch Dr, Lafayette, LA 70508-1819 | 2020-04-01 |
| Find all providers with the same taxonomy | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
Please comment or provide details below to improve the information on CONNECTICUT GENERAL LIFE INSURANCE COMPANY (CGLIC).
| 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.