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NPI Code Detail

MEDICARE: HILL HEALTH CORPORATION

MEDICARE: HILL HEALTH CORPORATION
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)C0264CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205039260
Entity Type Code : Organization
Provider Name (Legal Business Name) : HILL HEALTH CORPORATION
Provider Business Mailing Address
First Line : PO BOX 7720
Second Line :
City : NEW HAVEN
State : CT
Zip : 06519-0720
Country : US
Telephone Number : 203-503-3205
Fax Number : 203-503-3455
Provider Business Practice Location Address
First Line : 226 DIXWELL AVE
Second Line :
City : NEW HAVEN
State : CT
Zip : 06511-3456
Country : US
Telephone Number : 203-503-3205
Fax Number : 203-503-3455
Authorized Official
Title or Position : CREDENTIALING SPECIALIST
Name : SOL MARIA GONZALEZ
Credential :
Telephone Number : 203-503-3174
Provider Enumeration Date : 06/07/2007
Last Update Date : 01/24/2022

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Directions to “HILL HEALTH CORPORATION ” Practice Location

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