CORNELL SCOTT HILL HEALTH CORPORATION


Address: 400 Columbus Ave, New Haven, CT 06519-1233
Phone: 2035033000

CORNELL SCOTT HILL HEALTH CORPORATION (NPI# 1376871822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376871822
Entity Type Organization
Organization Name CORNELL SCOTT HILL HEALTH CORPORATION
Other Organization Name CORNELL SCOTT HILL HEALTH CENTER
Practice Address 400 Columbus Ave
New Haven
CT 06519-1233
Mailing Address Po Box 7720
Credentialing Specialist
New Haven
CT 06519-1233
Practice Telephone 2035033000
Practice Fax Number 2035033224
Mailing Telephone 2035033174
Mailing Fax Number 2035036515
Enumeration Date 2009-11-20
Last Update Date 2020-04-30
Authorized Official Name SOL MARIA GONZALEZ (CREDENTIALING SPECIALIST)
Authorized Official Telephone 2035033174
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Cornell Scott Hill Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1538377148 Cornell Scott Hill Health Corporation Clinical Medical Laboratory 36 East Industrial Rd, Branford, CT 06405 2007-05-18
1902921380 Cornell Scott Hill Health Corporation Psychiatry & Neurology 400-428 Columbus Avenue, New Haven, CT 06519-1233 2007-03-21
1104941806 Cornell Scott Hill Health Corporation Substance Abuse Rehabilitation Facility 232 Cedar St., South Central Rehabilitation Center, New Haven, CT 06519-1610 2007-03-20
1205105095 Cornell Scott Hill Health Corporation Registered Nurse 400 Columbus Ave, New Haven, CT 06519-1233 2011-12-22
1508161720 Cornell Scott Hill Health Corporation Clinic/Center 428 Columbus Ave, Internal Medicine, New Haven, CT 06519-1233 2011-01-19
1578866364 Cornell Scott Hill Health Corporation Clinic/Center 62 Grant St, Grant Street Partnership, New Haven, CT 06519-2514 2010-12-16
1427351626 Cornell Scott Hill Health Corporation Clinic/Center 911 State St, State Street Health Services, New Haven, CT 06511-3926 2010-12-09
1407159841 Cornell Scott Hill Health Corporation Clinic/Center 226 Dixwell Ave, Dixwell Health Center, New Haven, CT 06511-3456 2010-12-07
1316240757 Cornell Scott Hill Health Corporation Clinic/Center 121 Wakelee Ave, Ansonia, CT 06401-1198 2010-12-07
1841592466 Cornell Scott Hill Health Corporation Clinic/Center 285 Main St, West Haven Health Center, West Haven, CT 06516-7307 2010-12-02

Office Location

Street Address 400 COLUMBUS AVE
City NEW HAVEN
State CT
Zip Code 06519-1233

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043209091 Robin Goldberg Dentist 400 Columbus Ave, New Haven, CT 06519-1233 2005-10-20
1871190579 Ashley Salter Social Worker 400 Columbus Ave, New Haven, CT 06519-1233 2020-10-06
1679199095 Kathleen Mary Mcmahon-brown Nurse Practitioner 400 Columbus Ave, New Haven, CT 06519-1233 2020-06-22
1003443219 D'amira Kendrick Social Worker 400 Columbus Ave, New Haven, CT 06519-1233 2020-03-26
1821628108 Jonathan Ruiz Marriage & Family Therapist 400 Columbus Ave, New Haven, CT 06519-1233 2020-01-25
1205495785 Julia Stark Oricchio Nurse Practitioner 400 Columbus Ave, Apc, New Haven, CT 06519-1233 2019-06-10
1174004758 Taylor Catherine Rispoli Social Worker 400 Columbus Ave, New Haven, CT 06519-1233 2018-08-22
1548769235 Carolina Bunta Marriage & Family Therapist 400 Columbus Ave, Apc, New Haven, CT 06519-1233 2018-02-07
1740728559 Ervis Shehu Pharmacist 400 Columbus Ave, New Haven, CT 06519-1233 2017-02-01
1265985725 Grace Kindilien Moskowitz Social Worker 400 Columbus Ave, New Haven, CT 06519-1233 2016-08-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255819348 Jordan Ficocelli Nurse Practitioner 800 Howard Ave # 2, New Haven, CT 06519 2018-08-01
1780123414 Claire Louise Hardin General Acute Care Hospital 95 Howard Ave, New Haven, CT 06519 2017-02-14
1467809137 Ana Laura Vives-rodriguez Student in an Organized Health Care Education/Training Program 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 2016-05-23
1346607785 Amanda Kayte Corcoran Advanced Practice Midwife 40 Prince St., Suite 207, New Haven, CT 06519 2016-01-15
1720491905 Sara Harcharik Perkins Dermatology 2 Church St S Ste 305, New Haven, CT 06519 2014-06-05
1194136713 Krishan Ratilal Jethwa Radiology 35 Park St Ste Ll507, New Haven, CT 06519 2014-05-16
1235549353 Brandon Michael Kitay Psychiatry & Neurology 184 Liberty St # Lv108, New Haven, CT 06519 2014-04-28
1649526617 Yale New Haven Hospital Student in an Organized Health Care Education/Training Program 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 2012-07-27
1669736765 Mayanka Tickoo Internal Medicine 300 Cedar St Fl 4, New Haven, CT 06519 2012-07-03
1730441627 Judith A Ross Physical Therapist 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 2012-06-15
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

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1134605587 Cumberland Family Medical Center, Inc Clinic/Center 489 High St, New Haven, KY 40051-6331 2018-07-18
1679571392 Downriver Community Services, Inc. Clinic/Center 58144 Gratiot Avenue, New Haven, MI 48048 2005-07-08
1043679863 Fair Haven Community Health Clinic, Inc Clinic/Center 426 East St, New Haven, CT 06511-5018 2016-02-22
1750757282 Downriver Community Services, Inc. Clinic/Center 58144 Gratiot Ave, New Haven, MI 48048 2015-08-19
1578866364 Cornell Scott Hill Health Corporation Clinic/Center 62 Grant St, Grant Street Partnership, New Haven, CT 06519-2514 2010-12-16
1427351626 Cornell Scott Hill Health Corporation Clinic/Center 911 State St, State Street Health Services, New Haven, CT 06511-3926 2010-12-09
1407159841 Cornell Scott Hill Health Corporation Clinic/Center 226 Dixwell Ave, Dixwell Health Center, New Haven, CT 06511-3456 2010-12-07

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1548861024 Staywell Health Care Inc Clinic/Center 160 Robbins St Ste 2, Waterbury, CT 06708-2652 2020-11-03
1447719091 Charter Oak Health Center, Inc. Clinic/Center 693 Bloomfield Ave Ste 101, Bloomfield, CT 06002-2489 2019-03-13
1811480403 First Choice Health Centers, Inc. Clinic/Center 150 N Main St Ste 230, Manchester, CT 06042-2086 2018-06-08
1851883458 First Choice Health Centers, Inc. Clinic/Center 227 Middle Turnpike East, Manchester, CT 06040-4261 2018-05-31
1003332446 Community Health Center Inc Clinic/Center 41 New St, Danbury, CT 06810-6512 2017-08-17
1225559826 First Choice Health Centers, Inc. Clinic/Center 809 Main Street, East Hartford, CT 06108 2017-07-05
1760877864 First Choice Health Centers, Inc. Clinic/Center 94 Connecticut Boulevard, East Hartford, CT 06108 2015-04-06
1669874855 First Choice Health Centers, Inc. Clinic/Center 20 Maple Street, Maple Street School, Vernon, CT 06066 2014-09-19
1669874087 First Choice Health Centers, Inc. Clinic/Center 70 Loveland Hill Road, Rockville High School, Vernon, CT 06066 2014-09-17
1548677982 Community Health Center Inc Clinic/Center 730 State Pier Rd, New London, CT 06320-5862 2014-07-17
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Competitor

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City NEW HAVEN
Zip Code 06519

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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