Healthcare Provider Details

I. General information

NPI: 1821275728
Provider Name (Legal Business Name): HEALTH NET OF CONNECTICUT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2008
Last Update Date: 01/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE FAR MILL CROSSING MAIL STOP: CT-900-02-07
SHELTON CT
06484-6121
US

IV. Provider business mailing address

ONE FAR MILL CROSSING MAIL STOP: CT-900-02-07
SHELTON CT
06484-6121
US

V. Phone/Fax

Practice location:
  • Phone: 800-848-4747
  • Fax: 610-768-0288
Mailing address:
  • Phone: 800-848-4747
  • Fax: 610-768-0288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL S. LAMBDIN
Title or Position: PRESIDENT, HEALTH NET, NORTHEAST
Credential:
Phone: 203-225-8168