Organization
STATE OF CONNECTICUT HEALTH CENTER
Active
Organization
STATE OF CONNECTICUT HEALTH CENTER
Active
Other names
Durable Medical Equipment & Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
DENIS C LAFRENIERE MD (MEDICAL DIRECTOR)
(860) 679-7503
Entity
Organization
Contact information
Practice address
850 BOLTON RD, U-85, STORRS MANSFIELD, CT 06269-9020
(860) 486-2629
(860) 486-5422
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT - DOWLING SOUTH, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
032452
CT
Other
Enumeration date
02/22/2008
Last updated
11/20/2013
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