Staywell Health Care Inc
Pediatrics
Staywell Health Care Inc is a Waterbury, Connecticut based Pediatric center with medical specialization in
General Pediatrics. Staywell Health Care Inc is also known as
Staywell Chc.
It is located at
95 Scovill St, 3rd Floor Pavillion B, Waterbury, Connecticut - 06706-1113. They can be contacted on phone at
203-805-4930 and fax number 888-965-4027.
NPI number (Unique professional ID) for Staywell Health Care Inc is
1831580745 which was assigned by NPPES on 13 Feb, 2015 and it was last updated on 13 Feb, 2015.
Staywell Health Care Inc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Staywell Health Care Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Staywell Health Care Inc |
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| Other Name : | Staywell Chc |
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Business Address:
Staywell Health Care Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 95 Scovill St, 3rd Floor Pavillion B
Waterbury, CT, 06706-1113
United States |
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| Phone Number : | 203-805-4930 |
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| Fax Number : | 888-965-4027 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1831580745 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 13 Feb, 2015 |
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| Last Updated On : | 13 Feb, 2015 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Donald Thompson |
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| Authorized Official Credential : | CEO |
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| Official Title or Position : | CHIEF EXECUTIVE OFFICER |
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| Phone Number : | 203-756-8021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Staywell Health Care Inc are as mentioned. Primary taxonomy code for Staywell Health Care Inc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 261QF0400X | Clinic/Center Federally Qualified Health Center (FQHC) | No | 0000744 | CT |
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Staywell Health Care Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 004235976 | MEDICAID | CT | |
| 1154342335 | Other | CT | ANTHEM BCBS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 80 Phoenix Ave, Suite 201
Waterbury, CT, 06702-1418
United States |
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| Phone Number : | 203-756-8021 |
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| Fax Number : | 203-596-9038 |
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Business Location:
Patients can refer following map for directions to
Staywell Health Care Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.