CITY OF BRIDGEPORT DEPARTMENT OF HEALTH (NPI# 1477678191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477678191 |
| Entity Type | Organization |
| Organization Name | CITY OF BRIDGEPORT DEPARTMENT OF HEALTH |
| Other Organization Name | BASSICK SHOOL BASED HEALTH CENTER |
| Practice Address |
1181 Fairfield Ave Bridgeport CT 06605-1183 |
| Mailing Address |
752 E Main St Bridgeport CT 06608-2335 |
| Practice Telephone | 2035767995 |
| Mailing Telephone | 2035767052 |
| Mailing Fax Number | 2033325641 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARIAM 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 |
|---|---|
| Bassick Shool Based Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952426330 | City of Bridgeport Department of Health | Clinic/Center | 752 E Main St, Bridgeport, CT 06608-2335 | 2007-03-21 |
| 1194840827 | City of Bridgeport Department of Health | Clinic/Center | 1 Lincoln Blvd, Bridgeport, CT 06606-5502 | 2007-03-20 |
| Street Address |
1181 FAIRFIELD AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-1183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312276 | Stacy-ann Thompson-grant | Social Worker | 170 Bennet T Street, Bridgeport, CT 06605 | 2019-05-28 |
| 1720502149 | Sheree Amankwah | Counselor | 170 Bennett Street, Bridgeport, CT 06605 | 2017-07-27 |
| 1417477324 | Aracelis Robertson | Case Manager/Care Coordinator | 1646 Fairfield Avenue, 3rd Floor, Bridgeport, CT 06605 | 2017-06-21 |
| 1699158170 | Cortney Davis | Physician Assistant | 3250 Fairfield Ave, Unit 217, Bridgeport, CT 06605 | 2015-07-02 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1932513785 | Hallie Claire Riggs | Social Worker | 1730 State St Ext, Bridgeport, CT 06605 | 2014-06-19 |
| 1831518513 | Yvonne Booy | Counselor | 46 Albion Street, Bridgeport, CT 06605 | 2014-04-10 |
| 1760556955 | Joel W Allen | Obstetrics & Gynecology | 625 Clinton Ave, Bridgeport, CT 06605 | 2006-11-20 |
| 1316046428 | Allen P Schlein | Orthopaedic Surgery | 650 Clinten Avenue, Bridgeport, CT 06605 | 2006-09-22 |
| 1336127984 | Hancock Pharmacy | Pharmacy | 1557 Fairfield Ave, Bridgeport, CT 06605 | 2006-01-04 |
| Find all providers in zip 06605 | ||||
| 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 |
| 1467571893 | City of Bridgeport Health Dept. School Based Health Center | Clinic/Center | 1734 Central Ave, Bridgeport, CT 06610-2763 | 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 |
| 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 | 06605 |
Please comment or provide details below to improve the information on CITY OF BRIDGEPORT DEPARTMENT OF HEALTH.
| 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.