Healthcare Provider Details

I. General information

NPI: 1811934524
Provider Name (Legal Business Name): NEW BRITAIN GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 10/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GRAND ST
NEW BRITAIN CT
06052-2016
US

IV. Provider business mailing address

100 GRAND ST
NEW BRITAIN CT
06052-2016
US

V. Phone/Fax

Practice location:
  • Phone: 860-224-5011
  • Fax: 860-224-5740
Mailing address:
  • Phone: 860-224-5011
  • Fax: 860-224-5740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number0052
License Number StateCT

VIII. Authorized Official

Name: MR. CLARENCE J SILVIA
Title or Position: PRESIDENT/CEO
Credential:
Phone: 860-224-5900