NPIMap

Organization Active NPI

Waterbury Hospital

  • General Acute Care Hospital
  • Waterbury, CT
National Provider Identifier
1184615114
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0060 Issued in CT
Legal business name
WATERBURY HOSPITAL
Practice address
64 Robbins St
Waterbury, CT 06708-2613
Phone
(203) 573-7280
Fax
(203) 573-7325
NPI assigned
Oct 31, 2005
Last updated
Sep 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Ms. Colleen M Scott
Title
Chief Financial Officer
Phone
(203) 573-7280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0060 CT Primary

Addresses

Primary practice location

64 Robbins St
Waterbury, CT 06708-2613

Mailing address

64 Robbins St
Waterbury, CT 06708-2613
Phone (203) 573-7280

Other identifiers 3

IdentifierTypeStateIssuer
4024956MedicaidCT
021OtherCTBLUE CROSS OF CT
4041653MedicaidCT

National Provider Directory

National Provider Directory

Locations

1625 Straits Tpke
Ste 304
Middlebury, CT 06762
Phone (203) 267-7522

134 Grandview Ave
#103
Waterbury, CT 06708
Phone (203) 573-6200

134 Grandview Ave
Ste 103
Waterbury, CT 06708
Phone (203) 573-6200

2154 E Main St
Waterbury, CT 06705
Phone (203) 575-0516

455 Chase Pkwy
#3
Waterbury, CT 06708
Phone (203) 578-3940

51 Depot St
#212
Watertown, CT 06795
Phone (860) 283-4348

51 Depot St
Ste 212
Watertown, CT 06795
Phone (860) 283-4348

Practitioners & affiliated clinicians

Practitioners 191

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 191

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1184615114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 ROBBINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082613",
            "telephone_number": "203-573-7280",
            "fax_number": "203-573-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 ROBBINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082613",
            "telephone_number": "203-573-7280",
            "fax_number": "203-573-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERBURY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "203-573-7280",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CT",
            "license": "0060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4024956",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF CT",
            "identifier": "021",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4041653",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.