# DEPAUL HEALTH SERVICES CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Saint Raphael Healthcare System Hamden Surgery Center, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093750150
- **Authorized official:** MISS DIANA T ELLISON MBA, CASC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (203) 288-2555

## Contact information

- **Practice address:** 2080 WHITNEY AVE, SUITE 100, HAMDEN, CT 06518-3600
- **Practice address phone:** (203) 288-2555
- **Practice address fax:** (203) 288-8048
- **Mailing address:** 2080 WHITNEY AVE, SUITE 100, HAMDEN, CT 06518-3600
- **Mailing address phone:** (203) 288-2555
- **Mailing address fax:** (203) 288-8048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0266 | CT | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 08/22/2020