Provider Demographics
NPI:1619938016
Name:DANBURY HOSPITAL
Entity Type:Organization
Organization Name:DANBURY HOSPITAL
Other - Org Name:DANBURY HOSPITAL DBA NEW MILFORD HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/TREASURER WCHN
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-739-7240
Mailing Address - Street 1:24 HOSPITAL AVENUE
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810
Mailing Address - Country:US
Mailing Address - Phone:860-355-2611
Mailing Address - Fax:860-350-7300
Practice Address - Street 1:21 ELM ST
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-2915
Practice Address - Country:US
Practice Address - Phone:860-355-2611
Practice Address - Fax:860-350-7300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-28
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207P00000X
CT0032282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care Hospital
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008055716Medicaid
CT004041752Medicaid
CT008055717Medicaid
CT004045052Medicaid
CT07003301Medicare Oscar/Certification