Provider Demographics
NPI:1861652604
Name:HARTFORD HOSPITAL
Entity type:Organization
Organization Name:HARTFORD HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHOZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-545-2746
Mailing Address - Street 1:80 SEYMOUR ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06102-8000
Mailing Address - Country:US
Mailing Address - Phone:860-696-6010
Mailing Address - Fax:860-696-6190
Practice Address - Street 1:80 SEYMOUR ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06102-8000
Practice Address - Country:US
Practice Address - Phone:860-696-6010
Practice Address - Fax:860-696-6190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0046273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC001897OtherTRICARE
CTIS10001OtherHEALTHNET
CT059672OtherVALUE OPTIONS
CT0001352OtherUS HEALTHCARE
CT0319896OtherUNITED HEALTHCARE
CT038157400OtherFEDERAL BLACK LUNG PROGRAM
CT900006OtherCTCARE
CT0006170150OtherAETNA
CTC00023OtherMEDICARE PART B
CT004041869Medicaid
CT005OtherANTHEM BLUE CROSS
CT900777OtherTUFTS INSURANCE
CTH01316OtherOXFORD
CT05BOtherANTHEM BLUE CROSS MH
CTC001897OtherTRICARE