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EASTER SEAL REHABILITATION CENTER NPI 1497054316


NPI Information

NPI: 1497054316
Provider Name: EASTER SEAL REHABILITATION CENTER
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
22 TOMPKINS ST
WATERBURY, CT
ZIP 06708
Phone: (203) 754-5141
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EASTER SEAL REHABILITATION CENTER is a clinic center in Waterbury, CT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EASTER SEAL REHABILITATION CENTER NPI is 1497054316. The provider is registered as an organization entity type.

The provider's business location address is:

22 TOMPKINS ST
WATERBURY, CT
ZIP 06708-496
Phone: (203) 754-5141
Fax: (203) 757-1198

The provider's authorized official is Gary Nielsen .
The authorized official title is Cfo/coo and has the following contact phone number (203) 754-5141.

The enumeration date for this NPI number is 3/17/2011 and was last updated on 6/21/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0700XClinic/CenterHearing and SpeechNo
2332S00000XHearing Aid EquipmentNo
3261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
112DME0601CT01OTHERCONNECTICUTANTHEM BLUE CROSS BLUE SHIELD
2232000OTHERCONNECTICARE
3017500OTHERCONNECTICUTCONNECTICARE
45376280OTHERAETNA
55617574OTHERCONNECTICUTAETNA
6800009105CT01OTHERCONNECTICUTANTHEM BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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