CITY OF BRIDGEPORT HEALTH DEPT. (NPI# 1558480673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558480673 |
| Entity Type | Organization |
| Organization Name | CITY OF BRIDGEPORT HEALTH DEPT. |
| Other Organization Name | MUNOZ MARIN ELEMENTARY SCHOOL BASED HEALTH CENTER |
| Practice Address |
479 Helen St Bridgeport CT 06608-1321 |
| Mailing Address |
752 E Main St Bridgeport CT 06608-2335 |
| Practice Telephone | 2035768310 |
| Mailing Telephone | 2035767052 |
| 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 |
|---|---|
| Munoz Marin Elementary School Based Health Center | Doing Business As Name - Organization |
| Street Address |
479 HELEN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06608-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568795094 | Kelly M Bucci-didomenico | Nurse Practitioner | 479 Helen St, Bridgeport, CT 06608-1321 | 2009-09-16 |
| 1518187087 | Kettelie Paulemon | Social Worker | 479 Helen St, Bridgeport, CT 06608-1321 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184193591 | Full Circle Youth Empowerment | Community/Behavioral Health | 583-585 East Main Street, Bridgeport, CT 06608 | 2018-11-14 |
| 1225548332 | Vicarah, LLC | Home Health | 941 East Main Street, Bridgeport, CT 06608 | 2017-10-03 |
| 1285092346 | Heavenly Providers, LLC | Home Health | 1071 William St, Bridgeport, CT 06608 | 2016-02-04 |
| 1659590131 | Annette Tirado | Social Worker | 982 East Main St, Bridgeport, CT 06608 | 2007-04-24 |
| 1629023536 | Brenda I Kulikowski | Midwife | 982 East Main Street, Optimus Health Care, Bridgeport, CT 06608 | 2006-05-23 |
| 1043695588 | Kirithika Mohanathaas | Internal Medicine | 471 Barnum Ave, Bridgeport, CT 06608 | 2015-07-27 |
| 1871749937 | Michele J Feinberg | Psychiatry & Neurology | 982 E Main St, Bridgeport, CT 06608 | 2008-08-08 |
| 1023225646 | Regional Network of Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 74 Huntington Rd, Bridgeport, CT 06608-1006 | 2007-05-16 |
| 1295013910 | Lorraine Dionne Brooks-williams | Registered Nurse | 100 Putnam St, Ph, Bridgeport, CT 06608-1045 | 2011-07-29 |
| 1689157471 | Tageldin Banaga | Driver | 1333 E Main St Apt 5, Bridgeport, CT 06608-1400 | 2018-09-08 |
| Find all providers in zip 06608 | ||||
| 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 |
| 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 |
| 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 | 06608 |
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| 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.