Provider Demographics
NPI:1154762862
Name:CHATHAM HEALTH DISTRICT
Entity type:Organization
Organization Name:CHATHAM HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEALTH
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:MELMED
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:860-365-0884
Mailing Address - Street 1:240 MIDDLETOWN AVE
Mailing Address - Street 2:
Mailing Address - City:EAST HAMPTON
Mailing Address - State:CT
Mailing Address - Zip Code:06424-2120
Mailing Address - Country:US
Mailing Address - Phone:860-365-0884
Mailing Address - Fax:860-365-0885
Practice Address - Street 1:240 MIDDLETOWN AVE
Practice Address - Street 2:
Practice Address - City:EAST HAMPTON
Practice Address - State:CT
Practice Address - Zip Code:06424-2120
Practice Address - Country:US
Practice Address - Phone:860-365-0884
Practice Address - Fax:860-365-0885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-10
Last Update Date:2022-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare