Verification Lookup Portal
Providers for Hartford Healthcare Global
Charlotte Hungerford Hospital
Hartford Hospital
MidState Medical Center
Natchaug Hospital
Rushford
St Vincents Medical Center
The Hospital of Central Connecticut
William W Backus Hospital
Windham Community Memorial Hospital
Provider Last Name
Last name is required.
Provider First Name
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Provider Birthdate
Birthdate is required.
Provider NPI
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Required Information
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Requester Name
Name is required.
Requester Title
Title is required.
Requester Organization
Organization is required.
Requester Address
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Requester City, State, Zip
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Requester Phone
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Requester Fax
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Requester Email
Email is required.
I agree and acknowledge that I possess a signed release and immunity statement signed by the practitioner for which I am obtaining affiliation verification information. Such signed release and immunity holds harmless and indemnifies Hartford HealthCare, and its affiliated entities, and individuals providing information pursuant to this request, their medical staffs, board of directors, and each of their respective members and designees, the administrations of such Hartford Healthcare affiliated entities and their directors, officers, employees, representatives and agents, and each of them from any and all claims, demands or actions with respect to all acts, including without limitation, communications, reports, recommendations, or disclosures performed or made in connection with the request for the release of information pertaining to the practitioner's affiliation with Hartford HealthCare and its affiliated entities.
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Provider Search
Please Enter the Following Information:
Facility
Provider Last Name
Provider Birthdate
Requester Name
Requester Title
Requester Organization
Requester Email