Staywell Chc
LBN: Staywell Health Care Inc
Staywell Chc is an health care organization with primary practice located at 95 Scovill St 3Rd Floor Pavillion B, Waterbury CT 06706-1113. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Staywell Health Care Inc can be contacted via phone (203) 805-4930, or through Thompson, Donald via phone (203) 756-8021.
Contact Information
Primary practice address
95 Scovill St 3Rd Floor Pavillion B
Waterbury CT 06706-1113
Phone: (203) 805-4930
Fax: (888) 965-4027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 0000744 | Connecticut |
Profile Details
| NPI number | 1831580745 |
|---|---|
| LBN Legal business name | Staywell Health Care Inc |
| DBA Doing business as | Staywell Chc |
| Authorized official | Thompson, Donald CEO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 13th, 2015 |
| Last updated | Feb 13th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831580745 | NPPES |
| Connecticut | MEDICAID | 004235976 | |
| Connecticut | Other | 1154342335 |
Popular Providers
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