CITY OF BRIDGEPORT HEALTH DEPT. SCHOOL BASED HEALTH CENTER (NPI# 1467571893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467571893 |
| Entity Type | Organization |
| Organization Name | CITY OF BRIDGEPORT HEALTH DEPT. SCHOOL BASED HEALTH CENTER |
| Other Organization Name | HARDING HIGH SCHOOL BASED HEALTH CENTER |
| Practice Address |
1734 Central Ave Bridgeport CT 06610-2763 |
| Mailing Address |
752 E Main St Bridgeport CT 06608-2335 |
| Practice Telephone | 2035768213 |
| Mailing Telephone | 2035727052 |
| Mailing Fax Number | 2033325641 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARIAN EVANS (DIRECTOR OF HEALTH) |
| Authorized Official Telephone | 2035767680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Harding High School Based Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114046273 | City of Bridgeport Health Dept. School Based Health Center | Clinic/Center | 130 Ezra St, Bridgeport, CT 06606-5061 | 2007-03-28 |
| 1841319803 | City of Bridgeport Health Dept. School Based Health Center | Clinic/Center | 680 Park Ave, Bridgeport, CT 06604-4610 | 2007-03-28 |
| 1124147244 | City of Bridgeport Health Dept. School Based Health Center | Clinic/Center | 700 Palisade Ave, Bridgeport, CT 06610-3457 | 2007-03-28 |
| Street Address |
1734 CENTRAL AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-2763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568603207 | Lisa M Stefanko | Social Worker | 1734 Central Ave, Bridgeport, CT 06610-2763 | 2009-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| 1922532746 | Megha Kureti | Student in an Organized Health Care Education/Training Program | 267 Grant St Fl 3, Bridgeport, CT 06610 | 2017-04-18 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| Find all providers in zip 06610 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114046273 | City of Bridgeport Health Dept. School Based Health Center | Clinic/Center | 130 Ezra St, Bridgeport, CT 06606-5061 | 2007-03-28 |
| 1558480673 | City of Bridgeport Health Dept. | Clinic/Center | 479 Helen St, Bridgeport, CT 06608-1321 | 2007-03-28 |
| 1881713246 | City of Bridgeport Health Dept. School Based Health Centers | Clinic/Center | 275 George St, Bridgeport, CT 06604-3320 | 2007-03-28 |
| 1568581908 | City of Bridgeport Health Dept School Based Health Center | Clinic/Center | 425 Thorme St, Bridgeport, CT 06606-3418 | 2007-03-28 |
| 1477678191 | City of Bridgeport Department of Health | Clinic/Center | 1181 Fairfield Ave, Bridgeport, CT 06605-1183 | 2007-03-20 |
| 1841319803 | City of Bridgeport Health Dept. School Based Health Center | Clinic/Center | 680 Park Ave, Bridgeport, CT 06604-4610 | 2007-03-28 |
| 1124147244 | City of Bridgeport Health Dept. School Based Health Center | Clinic/Center | 700 Palisade Ave, Bridgeport, CT 06610-3457 | 2007-03-28 |
| 1194840827 | City of Bridgeport Department of Health | Clinic/Center | 1 Lincoln Blvd, Bridgeport, CT 06606-5502 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831725878 | Emily Garber Aprn, Pllc | Clinic/Center | 6515 Main St Ste 1l, Trumbull, CT 06611-6350 | 2020-03-22 |
| 1912532953 | Canton Geriatrics Pllc | Clinic/Center | 461 Cherry Brook Road, Canton, CT 06019 | 2020-03-10 |
| 1265098180 | Wheeler Clinic Inc | Clinic/Center | 855 Lakewood Rd, Waterbury, CT 06704-5408 | 2019-05-16 |
| 1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
| 1326469024 | Sugati Health and Wellness | Clinic/Center | 37 W Town St, Lebanon, CT 06249-1536 | 2013-12-23 |
| 1225379837 | H. Robert Silverstein Md Facc PC | Clinic/Center | 1000 Asylum Ave Ste 2109, Hartford, CT 06105-1719 | 2013-03-06 |
| 1003167701 | Stec Md Clinic PC | Clinic/Center | 31 Strawberry Hill Ave Ste 104, Stamford, CT 06902-2681 | 2012-09-21 |
| 1477719839 | Woodbury Walk-in Clinic, LLC | Clinic/Center | 238 Main St S, Woodbury, CT 06798-3407 | 2008-08-04 |
| 1063693935 | Boylan Chiropractic LLC | Clinic/Center | 2 Library Place, Bethel, CT 06801-2106 | 2007-11-20 |
| 1831311257 | Guilford Chiropractic Wellness LLC | Clinic/Center | 728 Long Hill Rd, Guilford, CT 06437 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06610 |
Please comment or provide details below to improve the information on CITY OF BRIDGEPORT HEALTH DEPT. SCHOOL BASED HEALTH CENTER.
| 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.