| New Haven Public Schools | |
|
54 Meadow St New Haven CT 06519-1783 | |
| (203) 946-8969 | |
| (203) 946-8664 |
| Full Name | New Haven Public Schools |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 54 Meadow St, New Haven, Connecticut |
| Authorized Official Name and Position | Carlos Ceballos (DIRECTOR) |
| Authorized Official Contact | 2032349317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Haven Public Schools 54 Meadow St New Haven CT 06519-1783 Ph: (203) 946-8969 | New Haven Public Schools 54 Meadow St New Haven CT 06519-1783 Ph: (203) 946-8969 |
| NPI Number | 1063532596 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 07/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063532596 | NPI | - | NPPES |
| 0V1232 | Other | CT | HEALTH NET PROVIDER ID |
| 166185 | Other | CT | VALUE OPTIONS PROVIDER NO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | PENDING (Connecticut) | Primary |
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