Provider Demographics
NPI:1316321318
Name:TOWN OF TRUMBULL
Entity type:Organization
Organization Name:TOWN OF TRUMBULL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRST SELECTMAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:A
Authorized Official - Last Name:TESORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-452-5011
Mailing Address - Street 1:5866 MAIN ST
Mailing Address - Street 2:TRUMBULL TOWN HALL
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-3113
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:335 WHITE PLAINS RD
Practice Address - Street 2:TRUMBULL HEALTH DEPARTMENT
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-4856
Practice Address - Country:US
Practice Address - Phone:203-452-1030
Practice Address - Fax:203-452-1050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-20
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local