Staywell South Main

LBN: Staywell Health Care, Inc.
Staywell South Main is an health care organization with primary practice located at 1302 S Main St , Waterbury CT 06706-1748. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Staywell Health Care, Inc. can be contacted via phone (203) 756-8021, or through Thompson, Donald via phone (203) 756-8021.

Contact Information

Primary practice address
1302 S Main St Waterbury CT 06706-1748
Phone: (203) 756-8021
Fax: (203) 596-9038
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Donald
Phone: (203) 756-8021

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 0360 Connecticut

Profile Details

NPI number 1932355567
LBN Legal business name Staywell Health Care, Inc.
DBA Doing business as Staywell South Main
Authorized official Thompson, Donald
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2008
Last updated Feb 8th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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