/Wayfaring Ministries

LBN: /Wayfaring Ministries
/Wayfaring Ministries is an health care organization with primary practice located at 29R Marne St Rear , Hamden CT 06514-3628. The organization recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Preferred Provider Organization, Managed Care Organizations / Point of Service. Managed Care Organizations / Point of Service is the primary health care specialty. /Wayfaring Ministries can be contacted via phone (203) 533-9512, or through Johnson, Roger via phone (203) 533-9512.

Contact Information

Primary practice address
29R Marne St Rear Hamden CT 06514-3628
Phone: (203) 533-9512
Fax: (203) 248-4572
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Roger
Phone: (203) 533-9512

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 003563 Connecticut
Managed Care Organizations / Point of Service 305S00000X 003563 Connecticut

Profile Details

NPI number 1891199931
LBN Legal business name /Wayfaring Ministries
DBA Doing business as
Authorized official Johnson, Roger
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2014
Last updated Oct 17th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1891199931 NPPES
Connecticut MEDICAID 003563

Popular Providers