MEDICAL CENTER OF EAST HARTFORD LLC – NPI #1811514292
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MEDICAL CENTER OF EAST HARTFORD LLC is a provider located in EAST HARTFORD, CT. NPPES has assigned the NPI number 1811514292 to MEDICAL CENTER OF EAST HARTFORD LLC on July 01, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 5 years ago on Feb 25, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDICAL CENTER OF EAST HARTFORD LLC below.

NPI Profile for
MEDICAL CENTER OF EAST HARTFORD LLC

NPI Number
1811514292
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDICAL CENTER OF EAST HARTFORD LLC
Primary location
580 BURNSIDE AVE STE 2
EAST HARTFORD, CT 06108-3579
Phone: (860) 816-3231 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANUM AHMED
OWNER
Phone: (860) 263-8266
Updated
Certification Date
Feb 25, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
208000000X
- Pediatrics
207R00000X
- Internal Medicine
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.