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Contact Information

MILL RIVER FOUNDATION, INC.
146 W BROAD ST
STAMFORD, CT06902-3633
 Phone: 203-964-8500
 Fax: 203-356-9925
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for MILL RIVER FOUNDATION, INC.

NPI Number 1649487026
LBN Legal business name MILL RIVER FOUNDATION, INC.
Authorized official JULIE MITTLEIDER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2007
Last updated 03/08/2012 - About 14 years ago
Identifiers
CT License # 2327
CT Medicaid 000020313
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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