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WEST HARTFORD MEDICAL CENTER
NPI 1942533039
Family Medicine in West Hartford, CT

Active since September 08, 2009CLIA 07D2003039 · Waiver
74 PARK RD STE 4, WEST HARTFORD, CT 06119(860) 218-1725 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About West Hartford Medical Center NPPES

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

WEST HARTFORD MEDICAL CENTER (NPI 1942533039) is a healthcare organization registered as a family medicine in West Hartford, Connecticut and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Angel C. Jaquez, Director, as its authorized official.

NPPES Registry Identity

NPI1942533039
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWEST HARTFORD MEDICAL CENTER
Location Address74 PARK RD STE 4West Hartford, CT 06119-1898
Mailing Address74 Park Rd Ste 4West Hartford, CT 06119-1898 · (860) 218-1725
Phone(860) 218-1725
Organization SubpartNo
Authorized OfficialAngel C. JaquezDirector · (860) 218-1725
Enumeration DateSeptember 8, 2009
Last NPPES UpdateDecember 18, 2012
✔ NPI 1942533039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
74 PARK RD STE 4, West Hartford, CT 06119
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Other Identifiers 3

Medicaid008022952CT
Medicare UPIND100015554CT
Medicaid6464646CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2003039

West Hartford Medical Center · West Hartford, CT
Active · expires Mar 26, 2027
CLIA Number07D2003039
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorAngel C. Jaquez MD
Laboratory Phone(860) 218-1725
Laboratory LocationWest Hartford Medical Center74 Park Road, West Hartford, CT 06119
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 West Hartford Medical Center's NPI number?

The NPI number for West Hartford Medical Center is 1942533039. It was assigned to this organization in the NPPES registry on September 8, 2009.

Where is West Hartford Medical Center located?

West Hartford Medical Center is located at 74 Park Rd Ste 4, West Hartford, CT 06119. The listed phone number is (860) 218-1725.

What is West Hartford Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does West Hartford Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2003039) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Hartford Medical Center was last updated on December 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.