Healthcare Provider Details

I. General information

NPI: 1063053619
Provider Name (Legal Business Name): THE ROBERT C. GEER MEMORIAL HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2019
Last Update Date: 10/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 S CANAAN RD
CANAAN CT
06018-2502
US

IV. Provider business mailing address

99 S CANAAN RD
CANAAN CT
06018-2502
US

V. Phone/Fax

Practice location:
  • Phone: 860-824-3816
  • Fax:
Mailing address:
  • Phone: 860-824-3816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT FELIX CIMINI
Title or Position: TREASURER
Credential:
Phone: 860-824-3821