Organization · Type 2 NPI

Cornell Scott Hill Health Corporation

Federally Qualified Health Center (FQHC) · New Haven, CT

NPI number 1407159841 Active

Practice location

226 Dixwell Ave, Dixwell Health Center
New Haven, CT 06511-3456

Call (203) 503-3420 Map

Fax (203) 503-3422

Mailing address

PO Box 7720, Credentialing Specialist
New Haven, CT 06519-0720

Other practice locations

226 Dixwell Ave, Child And Family Guidance Clinie, New Haven, CT 06511-3456 · (203) 503-3458
226 Dixwell Ave, Dixwell Behavioral Health, New Haven, CT 06511-3456 · (203) 503-3470

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	0518 (CT)

Federally Qualified Health Center (FQHC): Definition to come...

43 other providers at this address

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NPI record

NPI: 1407159841
Entity type: Organization (Type 2)
Issued: Dec 7, 2010
Last updated: Apr 30, 2020
Status: Active
Subpart: Yes of Cornell Scott-Hill Health Center

Other names

<unavail>
Child and Family Guidance Clinic · doing business as
Dixwell Behavioral Health · doing business as
Dixwell Health Center · doing business as

Authorized official

Sol Maria Gonzalez
Credentialing Specialist
(203) 503-3174

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407159841

Cornell Scott Hill Health Corporation's National Provider Identifier is 1407159841, issued on Dec 7, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in New Haven, CT. The record was last updated on Apr 30, 2020.