Organization
STATE OF CONNECTICUT
Active
Other names
Problem Gambling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALBEA CROMPTON (CHIEF FINANCIAL OFFICER)
(860) 418-6923
Entity
Organization
Contact information
Practice address
2 VANCE DRIVE RUSSELL HALL, CONNECTICUT VALLEY HOSPITAL, MIDDLETOWN, CT 06457
(860) 262-6601
(860) 344-2360
Mailing address
PO BOX 351, 2 VANCE DRIVE RUSSELL HALL CONNECTICUT VALLEY HOSPITAL, MIDDLETOWN, CT 06457
(860) 262-6601
(860) 344-2360
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up