Healthcare Provider Details

I. General information

NPI: 1548225360
Provider Name (Legal Business Name): NEW BRITAIN GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 11/27/2023
Certification Date: 04/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GRAND ST
NEW BRITAIN CT
06050-0100
US

IV. Provider business mailing address

100 GRAND ST
NEW BRITAIN CT
06050-0100
US

V. Phone/Fax

Practice location:
  • Phone: 860-224-5181
  • Fax: 860-826-4946
Mailing address:
  • Phone: 860-224-5181
  • Fax: 860-826-4946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number0052
License Number StateCT

VIII. Authorized Official

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