Provider Demographics
NPI:1790879971
Name:CITY OF NEW HAVEN
Entity Type:Organization
Organization Name:CITY OF NEW HAVEN
Other - Org Name:NEW HAVEN HEALTH DEPARTMENT
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR OF HEALTH
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:203-946-6999
Mailing Address - Street 1:54 MEADOW ST
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1783
Mailing Address - Country:US
Mailing Address - Phone:203-946-6999
Mailing Address - Fax:
Practice Address - Street 1:54 MEADOW ST
Practice Address - Street 2:9TH FLOOR
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1783
Practice Address - Country:US
Practice Address - Phone:203-946-6999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0220251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare