Child & Adolescent Health Care

LBN: Child & Adolescent Health Care
Child & Adolescent Health Care is an health care organization with primary practice located at 179 Roseland Ave , Waterbury CT 06710. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Child & Adolescent Health Care can be contacted via phone (203) 574-4747, or through Rudolph, Jane via phone (203) 574-4747.

Contact Information

Primary practice address
179 Roseland Ave Waterbury CT 06710
Phone: (203) 574-4747
Fax: (203) 574-2251
Website:
Map and Directions
Authorized official contact:
Name: Rudolph, Jane Doctor of Medicine (MD)
Phone: (203) 574-4747

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 000431 Connecticut

Profile Details

NPI number 1497937411
LBN Legal business name Child & Adolescent Health Care
DBA Doing business as
Authorized official Rudolph, Jane Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2007
Last updated Mar 30th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497937411 NPPES
Connecticut MEDICAID 4049987

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