Healthcare Provider Details

I. General information

NPI: 1649814633
Provider Name (Legal Business Name): SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2019
Last Update Date: 11/29/2022
Certification Date: 11/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 COVENTRY ST STE 2
HARTFORD CT
06112-1548
US

IV. Provider business mailing address

131 COVENTRY ST FL 2
HARTFORD CT
06112-1548
US

V. Phone/Fax

Practice location:
  • Phone: 860-286-2766
  • Fax: 860-286-2981
Mailing address:
  • Phone: 860-286-2766
  • Fax: 860-286-2981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JAMES M HARRIS
Title or Position: REGIONAL DIRECTOR OF REIMBURSEMENT
Credential:
Phone: 860-714-4396