Provider Demographics
NPI:1134223837
Name:CITY OF MERIDEN
Entity type:Organization
Organization Name:CITY OF MERIDEN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH & HUMAN SERVICES DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:VUMBACO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-630-4221
Mailing Address - Street 1:165 MILLER ST
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450-4256
Mailing Address - Country:US
Mailing Address - Phone:203-630-4229
Mailing Address - Fax:203-639-0039
Practice Address - Street 1:165 MILLER ST
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-4256
Practice Address - Country:US
Practice Address - Phone:203-630-4229
Practice Address - Fax:203-639-0039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0012251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare