Organization
CITY OF HARTFORD
Active
Other names
Health And Human Services Department
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EBONY ELIZABETH JACKSON-SHAHEED MDH (DIRECTOR OF HEALTH)
(860) 757-9311
Entity
Organization
Contact information
Practice address
131 COVENTRY ST., HARTFORD, CT 06112-1548
(860) 757-4830
(860) 722-6826
Mailing address
131 COVENTRY ST., HARTFORD, CT 06112-1548
(860) 757-4846
(860) 722-6826
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
0307
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008042506
—
CT
Enumeration date
08/10/2012
Last updated
07/28/2023
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