Provider Demographics
NPI:1679618581
Name:QUINNIPIACK VALLEY HEALTH DISTRICT
Entity Type:Organization
Organization Name:QUINNIPIACK VALLEY HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALTIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-248-4528
Mailing Address - Street 1:1151 HARTFORD TURNPIKE
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-3041
Mailing Address - Country:US
Mailing Address - Phone:203-248-4528
Mailing Address - Fax:203-248-6671
Practice Address - Street 1:1151 HARTFORD TURNPIKE
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-3041
Practice Address - Country:US
Practice Address - Phone:203-248-4528
Practice Address - Fax:203-248-6671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163WC1500X, 2083P0901X, 251K00000X
CT0241261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Multi-Specialty
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTOR2816OtherHEALTHNET
CT96MSBC047CT01OtherBLUE CARE FAMILY PLAN
CT140003056CT03OtherANTHEM PSYCHOSOCIAL
CT206321OtherMHN
CT142547OtherVALUE OPTIONS
CT400001036CT01OtherANTHEM MEDICAL
CTA667400OtherOXFORD HEALTH PLANS
CT004141008Medicaid
CT004141008Medicaid
CT140003056CT03OtherANTHEM PSYCHOSOCIAL
CT142547OtherVALUE OPTIONS
CT96MSBC047CT01OtherBLUE CARE FAMILY PLAN