# CAPITAL AREA HEALTH CONSORTIUM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Internal Medicine Residency Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215363700
- **Authorized official:** DR. KIKI NISSEN (DESIGNATED INSTITUTION OFFICIAL)
- **Authorized official phone:** (860) 679-2147

## Contact information

- **Practice address:** 263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
- **Practice address phone:** (860) 679-2437
- **Mailing address:** 2 PARK PL, HARTFORD, CT 06106-5007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 09/17/2013
- **Last updated:** 09/17/2013