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CORNELL SCOTT HILL HEALTH CORPORATION NPI 1427351626


NPI Information

NPI: 1427351626
Provider Name: CORNELL SCOTT HILL HEALTH CORPORATION

Doing Business As: STATE STREET HEALTH SERVICES

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
911 STATE ST
STATE STREET HEALTH SERVICES
NEW HAVEN, CT
ZIP 06511
Phone: (203) 503-3530
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CORNELL SCOTT HILL HEALTH CORPORATION is a federally qualified health center (fqhc) clinic center in New Haven, CT. CORNELL SCOTT HILL HEALTH CORPORATION NPI is 1427351626. The provider is registered as an organization entity type.
The provider Is Doing Business As State Street Health Services.

The provider's business location address is:

911 STATE ST
STATE STREET HEALTH SERVICES
NEW HAVEN, CT
ZIP 06511-926
Phone: (203) 503-3530
Fax: (203) 782-6243

The provider's authorized official is Sol Maria Gonzalez .
The authorized official title is Credentialing Specialist and has the following contact phone number (203) 503-3174.

The enumeration date for this NPI number is 12/9/2010 and was last updated on 5/1/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)0518CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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