Provider Demographics
NPI:1932639069
Name:NORTH CENTRAL DISTRICT HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:NORTH CENTRAL DISTRICT HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-745-0383
Mailing Address - Street 1:31 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-3337
Mailing Address - Country:US
Mailing Address - Phone:860-745-0383
Mailing Address - Fax:860-745-3188
Practice Address - Street 1:31 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-3337
Practice Address - Country:US
Practice Address - Phone:860-745-0383
Practice Address - Fax:860-745-3188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare