NPIMap

Organization Active NPI

Wesleyan University - Davison Health Center

  • Student Health Clinic/Center
  • Middletown, CT
National Provider Identifier
1457332736
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
0016 Issued in CT
Legal business name
WESLEYAN UNIVERSITY - DAVISON HEALTH CENTER
Practice address
327 High St
Middletown, CT 06459-3232
Phone
(860) 685-2470
Fax
(860) 685-2471
NPI assigned
Nov 14, 2005
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
John Meerts
Title
Inter. V.P. for Finance and Treasur
Phone
(860) 685-2607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 0016 CT Primary

Addresses

Primary practice location

327 High St
Middletown, CT 06459-3232

Mailing address

327 High St
Middletown, CT 06459-3232
Phone (860) 685-2470

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0675544Davison Health Center Wesleyan University327 High Street, Middletown, CT 06459Provider-performed microscopyAug 9, 2026

National Provider Directory

National Provider Directory
Tax ID family
Wesleyan University2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

327 High St
Middletown, CT 06459
Phone (860) 685-2470

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457332736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 HIGH ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064593232",
            "telephone_number": "860-685-2470",
            "fax_number": "860-685-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 HIGH ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064593232",
            "telephone_number": "860-685-2470",
            "fax_number": "860-685-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEYAN UNIVERSITY - DAVISON HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEERTS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "INTER. V.P. FOR FINANCE AND TREASUR",
        "authorized_official_telephone_number": "860-685-2607"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CT",
            "license": "0016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.