Staywell Health Care, INC.
Family Medicine in Waterbury, Connecticut
1154342335- Practice location
- 80 Phoenix Ave, Waterbury, CT 06702-1418
- Phone
- 203-756-8021
- Fax
- 203-596-9038
- Last updated
- January 9, 2020
Staywell Health Care, INC. is a healthcare organization based in Waterbury, CT. Staywell Health Care, INC. practices in Waterbury, CT. The NPI Number for Staywell Health Care, INC. is 1154342335 and holds a License No. 0360 (CT). The current practice location address for Staywell Health Care, INC. is 80 Phoenix Ave, Waterbury, CT 06702-1418 and can be reached out via phone at 203-756-8021 and via fax at 203-596-9038.
Provider Profile Details
- NPI Number
- 1154342335
- Provider Name
- Staywell Health Care, INC.
- Provider Entity Type
- Organization
- Address
- 80 Phoenix Ave, Waterbury, CT 06702-1418
- Phone Number
- 203-756-8021
- Fax Number
- 203-596-9038
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Donald Thompson · President & Ceo · 203-756-8021
- Provider Enumeration Date
- July 22, 2006
- Last Update Date
- January 9, 2020
- Certification Date
- January 9, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 80 Phoenix Ave
Waterbury, CT 06702-1418 - City
- Waterbury
- State
- Connecticut
- Zip
- 06702-1418
- Phone Number
- 203-756-8021
- Fax Number
- 203-596-9038
Provider Business Mailing Address Details
- Address
- 80 Phoenix Ave
Suite 201
Waterbury, CT 06702-1418 - City
- Waterbury
- State
- CT
- Zip
- 06702-1418
- Phone Number
- 203-756-8021
- Fax Number
- 203-596-9038
License Information
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- 0360
- License State (2)
- CT
- Taxonomy (2)
- Clinic/Center, Dental · 261QD0000X
- Taxonomy (3)
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X
- Taxonomy (4)
- Clinic/Center, Health Services · 261QH0100X
- License Number (5)
- 0736
- License State (5)
- CT
- Taxonomy (5)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- License State (6)
- CT
- Taxonomy (6)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Staywell Health Care, INC.?
The NPI number of Staywell Health Care, INC. is 1154342335. It was assigned on July 22, 2006 and is currently active in the NPPES registry.
What is the specialty of Staywell Health Care, INC.?
Staywell Health Care, INC. is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 0360.
Where does Staywell Health Care, INC. practice?
The practice location is 80 Phoenix Ave, Waterbury, CT 06702-1418. The office can be reached at 203-756-8021 (phone) or 203-596-9038 (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 1154342335 directly on the NPPES registry website.