NPIMap

Organization Active NPI

Depaul Health Services Corporation

Doing business as Saint Raphael Healthcare System Hamden Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Hamden, CT
National Provider Identifier
1093750150
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0266 Issued in CT
Legal business name
DEPAUL HEALTH SERVICES CORPORATION
Doing business as
Saint Raphael Healthcare System Hamden Surgery Center, LLC
Practice address
2080 Whitney Ave
Suite 100
Hamden, CT 06518-3600
Phone
(203) 288-2555
Fax
(203) 288-8048
NPI assigned
Jun 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Diana T Ellison, MBA, CASC
Title
Executive Director
Phone
(203) 288-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0266 CT Primary

Addresses

Primary practice location

2080 Whitney Ave
Suite 100
Hamden, CT 06518-3600

Mailing address

2080 Whitney Ave
Suite 100
Hamden, CT 06518-3600
Phone (203) 288-2555

Other names 1

  • Saint Raphael Healthcare System Hamden Surgery Center, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093750150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 WHITNEY AVE",
            "address_2": "SUITE 100",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183600",
            "telephone_number": "203-288-2555",
            "fax_number": "203-288-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 WHITNEY AVE",
            "address_2": "SUITE 100",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183600",
            "telephone_number": "203-288-2555",
            "fax_number": "203-288-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPAUL HEALTH SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-288-2555",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MBA, CASC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CT",
            "license": "0266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Raphael Healthcare System Hamden Surgery Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.