Organization
COMMUNITY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY STATIN (CEO)
(860) 249-9625
Entity
Organization
Contact information
Practice address
500 ALBANY AVE, HARTFORD, CT 06120-2508
(860) 249-9625
(860) 808-1540
Mailing address
500 ALBANY AVE, HARTFORD, CT 06120-2508
(860) 249-9625
(860) 808-1540
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3319
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235570
—
CT
Enumeration date
07/18/2016
Last updated
07/18/2016
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