Provider Demographics
NPI:1053477588
Name:CITY OF DANBURY
Entity type:Organization
Organization Name:CITY OF DANBURY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEALTH AND HUMAN SERVIC
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:203-797-4625
Mailing Address - Street 1:155 DEER HILL AVE
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7726
Mailing Address - Country:US
Mailing Address - Phone:203-797-4625
Mailing Address - Fax:203-796-1596
Practice Address - Street 1:155 DEER HILL AVE
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810
Practice Address - Country:US
Practice Address - Phone:203-797-4625
Practice Address - Fax:203-796-1596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008081675Medicaid
CT004154423Medicaid