# STATE OF CONNECTICUT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** John Dempsey Hospital-Hemophilia Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972857282
- **Authorized official:** MR. JOHN BIANCAMANO (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (860) 679-1145

## Contact information

- **Practice address:** 263 FARMINGTON AVE, FARMINGTON, CT 06030-5355
- **Practice address phone:** (860) 679-2916
- **Practice address fax:** (860) 679-3071
- **Mailing address:** 263 FARMINGTON AVE, FARMINGTON, CT 06030-5355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 00065 | CT | Yes |

## Other

- **Enumeration date:** 11/08/2012
- **Last updated:** 11/08/2012
