| Organization Name: | CONNECTICUT CHILDREN'S MEDICAL CENTER |
| NPI Number: | 1013190446 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GERALD BOISVERT (CFO) |
| Mailing Address: | 282 Washington St Hartford |
| State: | CT US |
| Postal Code: | 061063322 |
| Phone Number: | 8605459360 |
| Fax Number: | 8605459365 |
| NPI Enumeration Date: | 12/07/2007 |
| NPI Last Update Date: | 12/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC2000X |
| License Number: | 000883 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Children |
| Taxonomy Definition: | |