| Easter Seals Waterbury | |
|
22 Tompkins St Waterbury CT 06708-1417 | |
| (203) 574-5141 | |
| (202) 757-1198 |
| Full Name | Easter Seals Waterbury |
|---|---|
| Speciality | Clinic/Center |
| Location | 22 Tompkins St, Waterbury, Connecticut |
| Authorized Official Name and Position | Loraine Shea (PRESIDENT) |
| Authorized Official Contact | 2037545141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Waterbury 22 Tompkins St Waterbury CT 06708-1417 Ph: (203) 574-5141 | Easter Seals Waterbury 22 Tompkins St Waterbury CT 06708-1417 Ph: (203) 574-5141 |
| NPI Number | 1497863658 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 07/27/2016 |
| Medicare PECOS PAC ID | 7416864178 |
|---|---|
| Medicare Enrollment ID | O20090820000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497863658 | NPI | - | NPPES |
| 12DME0601CT01 | Other | CT | BCBS-DME |
| 800009105CT01 | Other | CT | BLUE CROSS BLUE SHIELD |
| 017500 | Other | CT | CONNECTICARE-AUDIOLOGY |
| 5617574 | Other | CT | AETNA-AUDIOLOGY |
| 246000 | Other | CT | CONNECTICARE-AUDIOLOGY |
| 43MDE0003CT01 | Other | CT | BLUE CROSS BLUE SHIELD |
| 296184 | Other | CT | WELLCARE |
| 3561698 | Other | CT | AETNA-AUDIOLOGY |
| OR2189 | Other | CT | HEALTHNET |
| 004015061 | Medicaid | CT | |
| 004039657 | Medicaid | CT | |
| 04154 | Other | CT | HEARUSA-AUDIOLOGY |
| 68BT03016CT01 | Other | CT | BCBS-BIRTH TO THREE |
| 04731 | Other | CT | HEARUSA-AUDIOLOGY |
| 185832 | Other | CT | PREFERRED ONE-HUSKY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (NU) | Primary |
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