| Gilead Community Services, Inc. | |
|
230 Main Street Ext Middletown CT 06457-4470 | |
| (860) 343-5300 | |
| Not Available |
| Full Name | Gilead Community Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 230 Main Street Ext, Middletown, Connecticut |
| Authorized Official Name and Position | Christine D Leiby (TREASURER & CFO) |
| Authorized Official Contact | 8607693839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilead Community Services, Inc. 222 Main Street Ext Po Box 1000 Middletown CT 06457-4470 Ph: (860) 343-5300 | Gilead Community Services, Inc. 230 Main Street Ext Middletown CT 06457-4470 Ph: (860) 343-5300 |
| NPI Number | 1467705715 |
|---|---|
| Provider Enumeration Date | 10/24/2012 |
| Last Update Date | 03/20/2025 |
| Certification Date | 03/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467705715 | NPI | - | NPPES |
| 004140505 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2271 (Connecticut) | Primary |
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