Organization
STATE OF CONNECTICUT
Active
Other names
John Dempsey Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GEOGHEGAN (CHIEF FINANCIAL OFFICER)
(860) 679-3162
Entity
Organization
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-5355
(860) 679-2916
(860) 679-3071
Mailing address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-5355
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
00065
CT
103T00000X
Psychologist
00065
CT
1041C0700X
Clinical Social Worker
00065
CT
207P00000X
Emergency Medicine Physician
—
CT
261QE0002X
Emergency Care Clinic/Center
00065
CT
282N00000X
General Acute Care Hospital
Primary
00065
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4041968
—
CT
Enumeration date
09/07/2005
Last updated
05/04/2023
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