Provider Demographics
NPI:1417014507
Name:CITY OF DANBURY
Entity Type:Organization
Organization Name:CITY OF DANBURY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:D
Authorized Official - Last Name:BOUGHTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-797-4625
Mailing Address - Street 1:155 DEER HILL AVE
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7726
Mailing Address - Country:US
Mailing Address - Phone:203-797-4625
Mailing Address - Fax:203-796-1596
Practice Address - Street 1:72 HOSPITAL AVE
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6021
Practice Address - Country:US
Practice Address - Phone:203-731-8272
Practice Address - Fax:203-731-8275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service