Provider Demographics
NPI:1841226347
Name:NORWALK COMMUNITY HEALTH CENTER INC
Entity Type:Organization
Organization Name:NORWALK COMMUNITY HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:GETTINGS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:203-899-1770
Mailing Address - Street 1:120 CONNECTICUT AVENUE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854-3013
Mailing Address - Country:US
Mailing Address - Phone:203-899-1770
Mailing Address - Fax:203-899-1769
Practice Address - Street 1:120 CONNECTICUT AVENUE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854-3013
Practice Address - Country:US
Practice Address - Phone:203-899-1770
Practice Address - Fax:203-899-1769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QH0100X
CT0522261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004236172Medicaid
CT004236172Medicaid