Aspetuck Health District
Organization Active NPI Public Health or Welfare Agency · Westport, CT
NPI 1164601795 · NPPES record last updated Aug 13, 2025
Key facts
- NPI
- 1164601795
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- License
- 034778 (CT)
- Legal business name
- ASPETUCK HEALTH DISTRICT
- Practice address
- 180 Bayberry LN
Westport, CT 06880-2802 - Phone
- (203) 227-9571
- Fax
- (203) 221-7199
- NPI assigned
- Oct 31, 2007
- Organization subpart
- No
Authorized official
- Name
- Luci Bango
- Title
- Director of Health
- Phone
- (203) 227-6591
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2170103 | Aspetuck Health District | Certificate of waiver | Aug 1, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251009000094 | CT | Part B Supplier - Mass Immunization (Roster Biller Only) | 3173794971 | Practice locations: Westport, CT |
National Provider Directory
Locations
180 Bayberry Ln
Westport, CT 06880
Phone (203) 227-9571
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 034778 | CT | Yes |
Addresses
Primary practice location
180 Bayberry LN
Westport, CT 06880-2802
Mailing address
180 Bayberry Lane
Westport, CT 06880-2802
Phone (203) 227-9571
Other names
- Westport Weston Health District
Other providers in Westport, CT
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All providers in Westport, CT · Public Health or Welfare Agency in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.