=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750444675
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TOWN OF GREENWICH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/19/2006
-----------------------------------------------------
Last Update Date | 02/14/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 101 FIELD POINT RD
-----------------------------------------------------
City | GREENWICH
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06830-6463
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-622-7836
-----------------------------------------------------
Fax | 203-622-7770
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 101 FIELD POINT RD
-----------------------------------------------------
City | GREENWICH
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06830-6463
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-622-7836
-----------------------------------------------------
Fax | 203-622-7770
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF HEALTH
-----------------------------------------------------
Name | CAROLINE C BAISLEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 203-622-7836
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251K00000X
-----------------------------------------------------
Taxonomy Name | Public Health or Welfare Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------