| NPI | 1255338232 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-07-05 |
| Last Updated | 2020-08-22 |
| Authorized Official | Anthony Valente Vice President Phone: 8607637667 |
| Mailing Address | 24 Battle St, P.o. Box 750 Somers, CT 06071-1629 United States Phone: (860) 684-8417 | Fax: (860) 684-8420 📍 View Map |
| Primary Practice Address | 148 Hazard Ave Enfield, CT 06082-4520 United States Phone: (860) 763-7650 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CT | 004068961 | - |
| Other (non-Medicare) | CT | 122 | Anthem BC/BS Provider Num |
| Other (non-Medicare) | CT | 775436 | Connecticare Provider Num |
| Other (non-Medicare) | CT | A487059 | Oxford Provider Number |
| Other (non-Medicare) | CT | IR0098 | Health Net Provider Numbe |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QA1903X – Clinic/Center, Ambulatory Surgical | CT | 0066 |
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About NPI 1255338232
Johnson Health Care, Inc. Dba Johnson Surgery Center is an organization registered in the CMS NPPES NPI Registry with NPI number 1255338232. The primary specialty listed is Clinic/Center, Ambulatory Surgical. The organization is located in Enfield, CT. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-07-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1255338232?
NPI 1255338232 belongs to Johnson Health Care, Inc. Dba Johnson Surgery Center, a Clinic/Center, Ambulatory Surgical in Enfield, CT. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1255338232 active?
The current status of NPI 1255338232 in the NPPES registry is Active. The record was last updated on 2020-08-22.
What specialty is NPI 1255338232?
NPI 1255338232 is classified under the taxonomy Clinic/Center, Ambulatory Surgical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1255338232?
You can verify NPI 1255338232 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1255338232?
The primary practice address on file for NPI 1255338232 is 148 Hazard Ave, Enfield, CT 06082-4520. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1255338232 issued?
NPI 1255338232 was first issued (enumerated) on 2005-07-05. The NPPES record was last updated on 2020-08-22.
Practice Location Map
Johnson Health Care, Inc. Dba Johnson Surgery Center is located at 148 Hazard Ave, Enfield, CT. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Johnson Health Care, Inc. Dba Johnson Surgery Center. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1255338232. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinic/Center, Ambulatory Surgical | 0066 | CT |