Active NPIOrganization

St. Vincent Depaul Mission Of Waterbury, INC.

Community Based Residential Treatment Facility, Mental Illness in Waterbury, Connecticut

NPI Number1043348204
Practice location
86 Midland RD # 88, Waterbury, CT 06705-3414
Fax
203-753-9900
Last updated
August 11, 2016

St. Vincent Depaul Mission Of Waterbury, INC. is a healthcare organization based in Waterbury, CT. St. Vincent Depaul Mission Of Waterbury, INC. practices in Waterbury, CT. The NPI Number for St. Vincent Depaul Mission Of Waterbury, INC. is 1043348204 and holds a License No. RCL-0029 (CT). The current practice location address for St. Vincent Depaul Mission Of Waterbury, INC. is 86 Midland RD # 88, Waterbury, CT 06705-3414 and can be reached out via phone at 203-753-3342 and via fax at 203-753-9900.

Provider Profile Details

NPI Number
1043348204
Provider Name
St. Vincent Depaul Mission Of Waterbury, INC.
Provider Entity Type
Organization
Address
86 Midland RD # 88, Waterbury, CT 06705-3414
Phone Number
203-753-3342
Fax Number
203-753-9900
Organization Subpart
No
Authorized Official
Mr. Paul Iadarola · Executive Director · 203-754-0000
Provider Enumeration Date
March 1, 2007
Last Update Date
August 11, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
86 Midland RD # 88
Waterbury, CT 06705-3414
Zip
06705-3414
Phone Number
203-753-3342
Fax Number
203-753-9900
Waterbury, CT 06705Get directions →

Provider Business Mailing Address Details

Address
173 Mark Ln
Suite 6
Waterbury, CT 06704-2474
City
Waterbury
State
CT
Zip
06704-2474
Phone Number
203-757-0567
Fax Number
203-757-0568

License Information

License Number
RCL-0029
License State
CT

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of St. Vincent Depaul Mission Of Waterbury, INC.?

The NPI number of St. Vincent Depaul Mission Of Waterbury, INC. is 1043348204. It was assigned on March 1, 2007 and is currently active in the NPPES registry.

What is the specialty of St. Vincent Depaul Mission Of Waterbury, INC.?

St. Vincent Depaul Mission Of Waterbury, INC. is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X), licensed in CT under license number RCL-0029.

Where does St. Vincent Depaul Mission Of Waterbury, INC. practice?

The practice location is 86 Midland RD # 88, Waterbury, CT 06705-3414. The office can be reached at 203-753-3342 (phone) or 203-753-9900 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043348204 directly on the NPPES registry website.

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