Provider Demographics
NPI:1053580860
Name:TRUMBULL MONROE HEALTH DISTRICT
Entity type:Organization
Organization Name:TRUMBULL MONROE HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEALTH
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SULIK
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, RS
Authorized Official - Phone:203-452-5195
Mailing Address - Street 1:5892 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-2466
Mailing Address - Country:US
Mailing Address - Phone:203-452-5195
Mailing Address - Fax:
Practice Address - Street 1:5892 MAIN ST
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-2466
Practice Address - Country:US
Practice Address - Phone:203-452-5195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare