CITY OF BRIDGEPORT DEPARTMENT OF HEALTH


Address: 752 E Main St, Bridgeport, CT 06608-2335
Phone: 2035767052

CITY OF BRIDGEPORT DEPARTMENT OF HEALTH (NPI# 1952426330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952426330
Entity Type Organization
Organization Name CITY OF BRIDGEPORT DEPARTMENT OF HEALTH
Other Organization Name SCHOOL BASED HEALTH CENTER
Practice Address 752 E Main St
Bridgeport
CT 06608-2335
Practice Telephone 2035767052
Practice Fax Number 2033325641
Mailing Telephone 2035767052
Mailing Fax Number 2033325641
Enumeration Date 2007-03-21
Last Update Date 2020-08-22
Authorized Official Name DR. MARIAM EVANS (DIRECTOR OF HEALTH)
Authorized Official Telephone 2035767680
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
School Based Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1477678191 City of Bridgeport Department of Health Clinic/Center 1181 Fairfield Ave, Bridgeport, CT 06605-1183 2007-03-20
1194840827 City of Bridgeport Department of Health Clinic/Center 1 Lincoln Blvd, Bridgeport, CT 06606-5502 2007-03-20

Office Location

Street Address 752 E MAIN ST
City BRIDGEPORT
State CT
Zip Code 06608-2335

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295711331 Polly F Cromwell Nurse Practitioner 752 E Main St, Bridgeport, CT 06608-2335 2005-12-20
1730436783 Bridgeport Health Department Clinic/Center 752 E Main St, Rm 100, Bridgeport, CT 06608-2335 2012-08-09
1366650764 Donna Marie Doxsey-mcgrew Nurse Practitioner 752 E Main St, Bridgeport, CT 06608-2335 2007-05-18
1932239365 Dental Hygiene Division Public Health or Welfare 752 E Main St, Floor 3 Room 320, Bridgeport, CT 06608-2335 2007-03-06
1073650016 Pamela Kennedy Dental Hygienist 752 E Main St, 3rd Floor Dental Hygiene, Bridgeport, CT 06608-2335 2007-01-31
1972640910 Evelia Cumpa Dental Hygienist 752 E Main St, 3rd Floor - Dental Hygiene, Bridgeport, CT 06608-2335 2007-01-31
1902943954 Robin Delaney Dental Hygienist 752 E Main St, 3rd Floor Dental Hygiene, Bridgeport, CT 06608-2335 2007-01-31
1679610620 Aida Cruz Dental Hygienist 752 E Main St, 3rd Floor Dental Hygiene, Bridgeport, CT 06608-2335 2007-01-31
1619013760 Mary Ann Burr Dental Hygienist 752 E Main St, 3rd Floor, Bridgeport, CT 06608-2335 2007-01-29
1750479549 Kira Ellen Lent Nurse Practitioner 752 E Main St, Bridgeport, CT 06608-2335 2006-10-10
Find all providers in the same location

Providers in the same zip code

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
1558480673 City of Bridgeport Health Dept. Clinic/Center 479 Helen St, Bridgeport, CT 06608-1321 2007-03-28
Find all providers in zip 06608

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174046122 Rominger Dental Clinic/Center 20 Shaner Dr Ste 108, Bridgeport, WV 26330-2506 2017-07-21
1376941013 K&h Dental Pa Clinic/Center 1808 Chico Highway, Bridgeport, TX 76426 2014-12-11
1205253176 Family Health Centers Clinic/Center 1015 Columbia, Bridgeport, WA 98813 2014-03-27
1821503210 Mgm Family Dental Clinic/Center 2690 E Main St, Bridgeport, CT 06610-1422 2017-12-06
1295126209 All Kids Dental LLC Clinic/Center 2566 Main St, Bridgeport, CT 06606-5302 2015-02-12
1972907012 Optimus Healthcare Clinic/Center 982 E Main St, Dental Department, Bridgeport, CT 06608-1913 2014-10-17
1528269131 Southwest Community Health Center Clinic/Center 46 Albion St, Bridgeport, CT 06605-2602 2007-05-30
1457493728 University of Bridgeport Clinic/Center 60 Lafayette St, Bridgeport, CT 06604-7719 2007-02-13
1669548376 Optimus Health Care Clinic/Center 471 Barnum Ave, Bridgeport, CT 06608-2409 2006-11-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528674728 North Main Dental Group LLC Clinic/Center 225 N Main St Ste 210, Bristol, CT 06010-4993 2020-09-22
1790397776 Best Way Dental Services, LLC Clinic/Center 886 Main St Ste B, Willimantic, CT 06226-2340 2020-08-20
1194357418 Bolton Lake Dental LLC Clinic/Center 1120 Boston Tpke, Bolton, CT 06043-7439 2020-02-05
1124669924 Dental Essentials of Rocky Hill Clinic/Center 2301 Silas Deane Hwy # 2, Rocky Hill, CT 06067-2330 2019-10-02
1730736216 Pearl Dental of Trumbull, Pllc Clinic/Center 140 Monroe Tpke Unit C, Trumbull, CT 06611-1357 2019-08-20
1134774953 Ezra Friedman Dds Clinic/Center 464 Wolcott Rd Ste 2, Wolcott, CT 06716-2626 2019-08-08
1790343051 Madison Dental Spa Clinic/Center 90 Wall St Ste 100, Madison, CT 06443-3128 2019-06-03
1730644212 Resolute Cross Road LLC Clinic/Center 112 Cross Rd, Waterford, CT 06385-1204 2019-02-08
1861966954 James S Bauer Dmd Incorporated Clinic/Center 40 Main St N Ste E, Woodbury, CT 06798-2966 2019-01-11
1821568650 Parkway Dental Np LLC Clinic/Center 1869 Dixwell Ave Ste 4, Hamden, CT 06514-3145 2018-12-05
Find all providers with the same taxonomy

Competitor

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City BRIDGEPORT
Zip Code 06608

Improve Information

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Dataset Information

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.

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