Staywell Health Care INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Naugatuck, CT. Organization (NPI-2).
NPI number1982151635
StatusActive
Last updated in NPPESJan 9, 2020
Details
- NPI
- 1982151635
- Entity type
- Organization (NPI-2)
- Legal business name
- Staywell Health Care INC
- Organization subpart
- No
- Enumeration date
- Sep 9, 2016
- Certification date
- Jan 9, 2020
- Last updated
- Jan 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | CT | Yes |
| 207Q00000X | Family Medicine | 0787 | CT | |
| 208000000X | Pediatrics | 0787 | CT | |
| 261QD0000X | Clinic/Center, Dental | – | CT | |
| 261QH0100X | Clinic/Center, Health Services | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | CT |
Practice location
30 Church StNaugatuck, CT 06770-4112
Phone 203-805-4929 · Fax 844-668-4620
Mailing address
30 Church StNaugatuck, CT 06770-4112
Phone 203-805-4929 · Fax 844-668-4620
Authorized official
Donald Thompson
Ceo/President
2037568021
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