Organization Active NPI

Town of Glastonbury

  • Public Health or Welfare Agency
  • Glastonbury, CT
National Provider Identifier
1013193952
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
TOWN OF GLASTONBURY
Practice address
2155 Main Street
Glastonbury, CT 06033-6523
Phone
(860) 652-7534
Fax
(860) 652-7533
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David W. Boone, MPH,RS
Title
Director of Health
Phone
(860) 652-7534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

2155 Main Street
Glastonbury, CT 06033-6523

Mailing address

2155 Main Street
Glastonbury, CT 06033-6523
Phone (860) 652-7534

Other names 1

  • Health Department Doing business as

National Provider Directory

National Provider Directory

Locations

2155 Main St
Glastonbury, CT 06033
Phone (860) 652-7534

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1013193952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 MAIN STREET",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060336523",
            "telephone_number": "860-652-7534",
            "fax_number": "860-652-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 MAIN STREET",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060336523",
            "telephone_number": "860-652-7534",
            "fax_number": "860-652-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF GLASTONBURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH",
        "authorized_official_telephone_number": "860-652-7534",
        "authorized_official_credential": "MPH,RS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.