# MIDSTATE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midstate Hospitalist Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154425288
- **Authorized official:** MR. RALPH W BECKER (VP FINANCE)
- **Authorized official phone:** (860) 696-6220

## Contact information

- **Practice address:** 435 LEWIS AVE, MERIDEN, CT 06451-2101
- **Practice address phone:** (860) 696-6287
- **Practice address fax:** (860) 696-6035
- **Mailing address:** 435 LEWIS AVE, MERIDEN, CT 06451-2101
- **Mailing address phone:** (860) 696-6287
- **Mailing address fax:** (860) 696-6035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0070 | CT | Yes |

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 08/22/2020