Wooster School Based Health Center | |
150 Lincoln St Stratford CT 06614-4000 | |
(203) 381-6922 | |
(203) 381-6923 |
Full Name | Wooster School Based Health Center |
---|---|
Speciality | Clinic/center - Student Health |
Location | 150 Lincoln St, Stratford, Connecticut |
Authorized Official Name and Position | Greta Broneill (PROJECT COORDINATOR) |
Authorized Official Contact | 2033816922 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wooster School Based Health Center 150 Lincoln St Stratford CT 06614-4000 Ph: (203) 381-6922 | Wooster School Based Health Center 150 Lincoln St Stratford CT 06614-4000 Ph: (203) 381-6922 |
NPI Number | 1114074606 |
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Provider Enumeration Date | 01/05/2007 |
Last Update Date | 01/08/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114074606 | NPI | - | NPPES |
004144573 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
261QS1000X | Clinic/center - Student Health | 0252 (Connecticut) | Primary |
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