| Town Of Stratford Health Dept. | |
|
150 Lincoln St Stratford CT 06614-4000 | |
| (203) 381-6922 | |
| (203) 381-6923 |
| Full Name | Town Of Stratford Health Dept. |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 150 Lincoln St, Stratford, Connecticut |
| Authorized Official Name and Position | Greta Broneill (PROJECT COORDINATOR) |
| Authorized Official Contact | 2033816922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Town Of Stratford Health Dept. 150 Lincoln St Stratford CT 06614-4000 Ph: (203) 381-6922 | Town Of Stratford Health Dept. 150 Lincoln St Stratford CT 06614-4000 Ph: (203) 381-6922 |
| NPI Number | 1114074606 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 01/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114074606 | NPI | - | NPPES |
| 004144573 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QS1000X | Clinic/center - Student Health | 0252 (Connecticut) | Primary |
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