Town Of Stratford Health Dept.
Clinic/Center, Student Health in Stratford, CT. Organization (NPI-2).
NPI number1114074606
StatusActive
Last updated in NPPESJan 8, 2014
Details
- NPI
- 1114074606
- Entity type
- Organization (NPI-2)
- Legal business name
- Town Of Stratford Health Dept.
- Organization subpart
- No
- Enumeration date
- Jan 5, 2007
- Last updated
- Jan 8, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1000X | Clinic/Center, Student Health | 0252 | CT | Yes |
| 261QD0000X | Clinic/Center, Dental | – | – |
Other names
- Wooster School Based Health Center (Doing Business As)
Practice location
150 Lincoln StStratford, CT 06614-4000
Phone 203-381-6922 · Fax 203-381-6923
Mailing address
150 Lincoln StStratford, CT 06614-4000
Phone 203-381-6922 · Fax 203-381-6923
Authorized official
Greta Broneill
Project Coordinator
2033816922
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