Staywell/Salvation Army – General Practice Physician, NPI 1669629911

Staywell/Salvation Army is a healthcare provider. based in Waterbury, Connecticut. specializing in General Practice Physician. The NPI Number for Staywell/Salvation Army is 1669629911

Main info

Organization
Name
Staywell/Salvation Army
NPI
1669629911
Phone
(203) 756-8021
Address
80 PHOENIX AVE STE 201
Authorized Official
MR. DONALD THOMPSON PRESIDENT
Enumeration Date
19 August 2008
Last Update Date
19 August 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness80
Years active:17State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Staywell/Salvation Army

  • Phoenix Avenue, Exchange Place, Waterbury, New Haven County, Connecticut, 06702, United States

    WATERBURY, CT 067021418

    Phone: (203) 756-8021

    Fax: (203) 596-9038

    Type: Mailing

  • 74, Central Avenue, Cass Gilbert National Register District, Waterbury, New Haven County, Connecticut, 06702, United States

    WATERBURY, CT 067021207

    Phone: (203) 756-8021

    Fax: (203) 596-9038

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06702)

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Reviews

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Frequently asked questions

Can I cross-check Staywell/Salvation Army using NPI 1669629911?
NPI 1669629911 belongs to Staywell/Salvation Army; compare other details if you need extra assurance.
Would Staywell/Salvation Army appear as active to a payer?
You can treat Staywell/Salvation Army as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with Staywell/Salvation Army?
Staywell/Salvation Army's record emphasizes General Practice Physician. Clinical services aligned with this taxonomy classification.
Where in Connecticut is Staywell/Salvation Army registered?
Use Waterbury, Connecticut as the headline location for Staywell/Salvation Army here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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