CIGNA ONSITE HEALTH, LLC; JACK ENTERTAINMENT
NPI 1396192290
Clinic/Center in Cincinnati, OH

Active since May 20, 2016
1000 BROADWAY ST, CINCINNATI, OH 45202(513) 250-3405 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cigna Onsite Health, Llc; Jack Entertainment NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CIGNA ONSITE HEALTH, LLC; JACK ENTERTAINMENT (NPI 1396192290) is a healthcare organization registered as a clinic/center in Cincinnati, Ohio and active in the NPI registry since May 2016. The organization lists Stacey Popko, Medical Senior Director, as its authorized official.

NPPES Registry Identity

NPI1396192290
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCONNECTICUT GENERAL LIFE INSURANCE COMPANY
Location Address1000 BROADWAY STCincinnati, OH 45202-1364
Mailing Address25500 N Norterra DrPhoenix, AZ 85085-8200 · (877) 733-1710 · Fax (623) 277-1091
Organization SubpartNo
Authorized OfficialStacey PopkoMedical Senior Director · (412) 747-4128
Enumeration DateMay 20, 2016
Last NPPES UpdateMay 24, 2016
NPI 1396192290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1000 BROADWAY ST, Cincinnati, OH 45202

Other Names 1

Other NameCigna Onsite Health, Llc; Jack Entertainment

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
1000 BROADWAY ST
CINCINNATI, OH 45202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connecticut General Life Insurance Company's NPI number?

The NPI number for Connecticut General Life Insurance Company is 1396192290. It was assigned to this organization in the NPPES registry on May 20, 2016. The provider is also known as Cigna Onsite Health, Llc; Jack Entertainment.

Where is Connecticut General Life Insurance Company located?

Connecticut General Life Insurance Company is located at 1000 Broadway St, Cincinnati, OH 45202. The listed phone number is (513) 250-3405.

What is Connecticut General Life Insurance Company's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Connecticut General Life Insurance Company was last updated on May 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.