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CORNELL SCOTT HILL HEALTH CORPORATION NPI 1902921380


NPI Information

NPI: 1902921380
Provider Name: CORNELL SCOTT HILL HEALTH CORPORATION

Former Legal Business Name: CORNELL SCOTT HILL HEALTH CORPORATION

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
400-428 COLUMBUS AVENUE
NEW HAVEN, CT
ZIP 06519
Phone: (203) 503-3000
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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 1902921380. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Cornell Scott Hill Health Corporation.

The provider's business location address is:

400-428 COLUMBUS AVENUE
NEW HAVEN, CT
ZIP 06519-233
Phone: (203) 503-3000
Fax: (203) 503-3224

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 3/21/2007 and was last updated on 7/21/2022.


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
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry0459CONNECTICUTNo
2261QD0000XClinic/CenterDentalCONNECTICUTNo
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)CONNECTICUTNo
4261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
5261QH0100XClinic/CenterHealth ServiceCONNECTICUTNo
6261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)CONNECTICUTNo
7291U00000XClinical Medical LaboratoryCONNECTICUTNo
8324500000XSubstance Abuse Rehabilitation FacilitySA-0122CONNECTICUTNo
9261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)0004CONNECTICUTYes

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
1004011813MEDICAIDCONNECTICUT
2004235918MEDICAIDCONNECTICUT
3007228749MEDICAIDCONNECTICUT
4004235893MEDICAIDCONNECTICUT
5004235900MEDICAIDCONNECTICUT

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.