| Cornell Scott Hill Health Center | |
|
400 Columbus Ave New Haven CT 06519-1233 | |
| (203) 503-3000 | |
| (203) 503-3224 |
| Full Name | Cornell Scott Hill Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 400 Columbus Ave, New Haven, Connecticut |
| Authorized Official Name and Position | Sol Maria Gonzalez (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2035033174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornell Scott Hill Health Center Po Box 7720 Credentialing Specialist New Haven CT 06519-1233 Ph: (203) 503-3174 | Cornell Scott Hill Health Center 400 Columbus Ave New Haven CT 06519-1233 Ph: (203) 503-3000 |
| NPI Number | 1376871822 |
|---|---|
| Provider Enumeration Date | 11/20/2009 |
| Last Update Date | 04/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376871822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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