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NPI Code Detail

MEDICARE: WATERBURY HOSPITAL

MEDICARE: WATERBURY HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital0060CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1021OTHERCTBLUE CROSS OF CT
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184615114
Entity Type Code : Organization
Provider Name (Legal Business Name) : WATERBURY HOSPITAL
Provider Business Mailing Address
First Line : 64 ROBBINS ST
Second Line :
City : WATERBURY
State : CT
Zip : 06708-2613
Country : US
Telephone Number : 203-573-7280
Fax Number : 203-573-7325
Provider Business Practice Location Address
First Line : 64 ROBBINS ST
Second Line :
City : WATERBURY
State : CT
Zip : 06708-2613
Country : US
Telephone Number : 203-573-7280
Fax Number : 203-573-7325
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MS. COLLEEN M SCOTT
Credential :
Telephone Number : 203-573-7280
Provider Enumeration Date : 10/31/2005
Last Update Date : 09/25/2008

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Directions to “WATERBURY HOSPITAL ” Practice Location

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