Eastern Highlands Health District

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

EASTERN HIGHLANDS HEALTH DISTRICT

Practice address

4 S Eagleville Rd
Storrs Mansfield, CT 06268-2574

Phone

(860) 429-3325

Fax

(860) 429-3321

NPI assigned

Feb 8, 2023

Last updated

Feb 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert L Miller

Title

Director of Health

Phone

(806) 429-3325

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1508563818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S EAGLEVILLE RD",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062682574",
            "telephone_number": "860-429-3325",
            "fax_number": "860-429-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S EAGLEVILLE RD",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062682574",
            "telephone_number": "860-429-3325",
            "fax_number": "860-429-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN HIGHLANDS HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH",
        "authorized_official_telephone_number": "806-429-3325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven J Dauer, PH.D.
• Craig R Denegar, PT
• Laurie L Devaney, PT, ATC
• Richard Paul Dibala, M.D.
• Paula Dombek
• Bruce Nicholas Elliott, PT
• C. John Ferreri, RPH
• Janelle Rae Francisco, M.S., ATC
• Ruth Ettenberg Freeman, LCSW
• Jill Elizabeth Fuller, FNP-BC

• Public Health or Welfare Agency in Storrs Mansfield, CT
• Providers in Storrs Mansfield, CT by specialty
• Public Health or Welfare Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.