Healthcare Provider Details

I. General information

NPI: 1679618581
Provider Name (Legal Business Name): QUINNIPIACK VALLEY HEALTH DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 02/03/2023
Certification Date: 02/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 HARTFORD TURNPIKE
NORTH HAVEN CT
06473-3041
US

IV. Provider business mailing address

1151 HARTFORD TURNPIKE
NORTH HAVEN CT
06473-3041
US

V. Phone/Fax

Practice location:
  • Phone: 203-248-4528
  • Fax: 203-248-6671
Mailing address:
  • Phone: 203-248-4528
  • Fax: 203-248-6671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number0241
License Number StateCT

VIII. Authorized Official

Name: LINDA M ALTIERI
Title or Position: BOOKKEEPER
Credential:
Phone: 203-248-4528