Provider Demographics
NPI:1346439361
Name:CENTRAL CONNECTICUT HEALTH DISTRICT
Entity Type:Organization
Organization Name:CENTRAL CONNECTICUT HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:K
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MPH
Authorized Official - Phone:860-785-8380
Mailing Address - Street 1:2080 SILAS DEANE HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-2334
Mailing Address - Country:US
Mailing Address - Phone:860-785-8380
Mailing Address - Fax:860-785-8533
Practice Address - Street 1:2080 SILAS DEANE HWY STE 100
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-2334
Practice Address - Country:US
Practice Address - Phone:860-785-8380
Practice Address - Fax:860-785-8533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare