CITY OF STAMFORD, DHSS NPI 1396885182

Clinic/Center (Dental) in Stamford, CT

NPI 1396885182 Organization Clinic/Center Dental

About CITY OF STAMFORD, DHSS

City Of Stamford, Dhss is a provider established in Stamford, Connecticut specializing in clinic/center (dental) . The NPI number of City Of Stamford, Dhss is 1396885182 and was assigned on February 2007. The practitioner's primary taxonomy code is 261QD0000X with license number 0389 (CT). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Ms. Anne T. Fountain M.p.h. (Director Of Health)

NPI

1396885182

Provider NameCITY OF STAMFORD, DHSS
Provider Location Address19 HORTON ST STAMFORD, CT 06902
Provider Mailing Address888 WASHINGTON BLVD 8TH FLOOR STAMFORD, CT 06901
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-08-2007
Last Update Date10-15-2012


Primary Taxonomy

Taxonomy Code261QD0000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationDental
License No.0389
License StateCT

Business Address

CITY OF STAMFORD, DHSS
19 HORTON ST
STAMFORD, CT
ZIP 06902
Phone: (203) 977-6691
Fax: (203) 977-5103

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Mailing Address

CITY OF STAMFORD, DHSS
888 WASHINGTON BLVD
8TH FLOOR
STAMFORD, CT
ZIP 06901
Phone: (203) 977-5662



Authorized Official

Authorized Official NameMS. ANNE T. FOUNTAIN M.P.H.
Authorized Official TitleDIRECTOR OF HEALTH
Authorized Official Phone(203) 977-4936

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548300361MS. JODY L BISHOP-PULLAN RDH
Individual
Dental Hygienist19 HORTON ST
STAMFORD, CT 06902
(203) 977-6691
1073047973 REBECA MARIA COLLADO RDH
Individual
Dental Hygienist19 HORTON ST
STAMFORD, CT 06902
(203) 977-6691

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.