Connecticut River Area Health District

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

CONNECTICUT RIVER AREA HEALTH DISTRICT

Practice address

455 Boston Post Rd
Suite 7
Old Saybrook, CT 06475-1516

Phone

(860) 661-3300

Fax

(860) 661-3333

NPI assigned

May 1, 2013

Last updated

Mar 26, 2022By 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. Scott Martinson, MPH

Title

Director of Health

Phone

(860) 661-3300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648252800000",
    "number": "1790120087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 BOSTON POST RD",
            "address_2": "SUITE 7",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751516",
            "telephone_number": "860-661-3300",
            "fax_number": "860-661-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BOSTON POST RD",
            "address_2": "SUITE 7",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751516",
            "telephone_number": "860-661-3300",
            "fax_number": "860-661-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT RIVER AREA HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A",
        "authorized_official_last_name": "MARTINSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH",
        "authorized_official_telephone_number": "860-661-3300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790120087",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Old Saybrook, CT
• Providers in Old Saybrook, 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 Mar 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.