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STAYWELL HEALTHCARE INC NPI 1669629911


NPI Information

NPI: 1669629911
Provider Name: STAYWELL HEALTHCARE, INC

Other Name: STAYWELL/SALVATION ARMY

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
74 CENTRAL AVE
WATERBURY, CT
ZIP 06702
Phone: (203) 756-8021
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STAYWELL HEALTHCARE, INC is a general practice in Waterbury, CT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee STAYWELL HEALTHCARE, INC NPI is 1669629911. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Staywell/salvation Army.

The provider's business location address is:

74 CENTRAL AVE
WATERBURY, CT
ZIP 06702-207
Phone: (203) 756-8021
Fax: (203) 596-9038

The provider's authorized official is Donald Thompson .
The authorized official title is President and has the following contact phone number (203) 756-8021.

The enumeration date for this NPI number is 8/19/2008 and was last updated on 8/19/2008.


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
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1071835MEDICARE OSCAR/CERTIFICATIONCONNECTICUT
2C00415MEDICARE PIN

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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