Provider Demographics
NPI:1508563818
Name:EASTERN HIGHLANDS HEALTH DISTRICT
Entity Type:Organization
Organization Name:EASTERN HIGHLANDS HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEALTH
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-429-3325
Mailing Address - Street 1:4 S EAGLEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:STORRS MANSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06268-2574
Mailing Address - Country:US
Mailing Address - Phone:860-429-3325
Mailing Address - Fax:860-429-3321
Practice Address - Street 1:4 S EAGLEVILLE RD
Practice Address - Street 2:
Practice Address - City:STORRS MANSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06268-2574
Practice Address - Country:US
Practice Address - Phone:860-429-3325
Practice Address - Fax:860-429-3321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare