NPI:
1417143504
Provider Name:
HOUSATONIC VALLEY HEALTH DISTRICT
Doing Business As: HOUSATONIC VALLEY HEALTH DISTRICT
Classification:
Clinic/Center - 261QP0905X
Entity Type:
Organization
Specialization: Public Health, State or Local
CLIA Number: 07D2229605
Address:
77 MAIN STREET NORTH
SUITE #205
SOUTHBURY, CT
ZIP 06488
Phone:
(203) 264-9616
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HOUSATONIC VALLEY HEALTH DISTRICT is a public health and state or local clinic center in Southbury, CT. HOUSATONIC VALLEY HEALTH DISTRICT NPI is 1417143504. The provider is registered as an organization entity type.
The provider Is Doing Business As Housatonic Valley Health District.
The provider's business location address is:
77 MAIN STREET NORTH
SUITE #205
SOUTHBURY, CT
ZIP 06488-200
Phone: (203) 264-9616
Fax: (203) 262-1960
The provider's authorized official is Amy Bethge .
The authorized official title is Director Of Health and has the following contact phone number (203) 264-9616.
The CLIA number assigned to this NPI record is 07D2229605 - community clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/21/2007 and was last updated on 4/19/2023.