Provider Demographics
NPI:1801085873
Name:NAUGATUCK VALLEY HEALTH DISTRICT
Entity type:Organization
Organization Name:NAUGATUCK VALLEY HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEALTH
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:N
Authorized Official - Last Name:SPARGO
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, MA, RS
Authorized Official - Phone:203-881-3255
Mailing Address - Street 1:98 BANK ST
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:CT
Mailing Address - Zip Code:06483-2856
Mailing Address - Country:US
Mailing Address - Phone:203-881-3255
Mailing Address - Fax:203-881-3259
Practice Address - Street 1:98 BANK ST
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:CT
Practice Address - Zip Code:06483-2856
Practice Address - Country:US
Practice Address - Phone:203-881-3255
Practice Address - Fax:203-881-3259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
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
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT2V5217OtherHEALTHNET MEDICARE PROGRA