Organization
THE GRIFFIN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK CHARMEL (PRESIDENT - CEO)
(203) 732-7500
Entity
Organization
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7360
(203) 732-7386
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7360
(203) 732-7386
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0034
CT
208D00000X
General Practice Physician
0034
CT
261QE0002X
Emergency Care Clinic/Center
0034
CT
282N00000X
General Acute Care Hospital
Primary
0034
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000991
HEALTHNET
CT
01
—
028
BLUE CROSS MEDICAL
CT
01
—
0464667
CIGNA
CT
01
—
28B
ANTHEM BLUE CROSS PSYCH
CT
01
—
28M
BLUE CROSS MEDICAID
CT
05
—
4025219
—
CT
05
—
4041927
—
CT
01
—
60054
AETNA
CT
01
—
87726
UNITED HEALTHCARE
CT
01
—
990352
CONNECTICARE
CT
01
—
H03255
OXFORD
CT
Enumeration date
07/30/2006
Last updated
06/03/2015
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