JOHNSON HEALTH CARE, INC. DBA JOHNSON SURGERY CENTER
Surgery Yellow Pages
Enfield, Connecticut
Provider NPI: 1255338232
Organization Information:Organization Name: JOHNSON HEALTH CARE, INC. DBA JOHNSON SURGERY CENTER
Practice Location:
148 HAZARD AVE ENFIELD, CT 06082 US
Tel: 860-763-7650 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
148 HAZARD AVE ENFIELD, CT 06082 US
Tel: 860-763-7650 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | CT | 0066 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ANTHEM BC/BS PROVIDER NUM | 122 | CT | 01 |
HEALTH NET PROVIDER NUMBE | IR0098 | CT | 01 |
CONNECTICARE PROVIDER NUM | 775436 | CT | 01 |
OXFORD PROVIDER NUMBER | A487059 | CT | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin