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CITY OF BRIDGEPORT HEALTH DEPT. SCHOOL BASED HEALTH CENTER NPI 1124147244


NPI Information

NPI: 1124147244
Provider Name: CITY OF BRIDGEPORT HEALTH DEPT. SCHOOL BASED HEALTH CENTER

Doing Business As: JOHN F. KENNEDY CAMPUS SCHOOL BASED HEALTH CENTER

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
700 PALISADE AVE
BRIDGEPORT, CT
ZIP 06610
Phone: (203) 576-7534
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CITY OF BRIDGEPORT HEALTH DEPT. SCHOOL BASED HEALTH CENTER is a health service clinic center in Bridgeport, CT. CITY OF BRIDGEPORT HEALTH DEPT. SCHOOL BASED HEALTH CENTER NPI is 1124147244. The provider is registered as an organization entity type.
The provider Is Doing Business As John F. Kennedy Campus School Based Health Center.

The provider's business location address is:

700 PALISADE AVE
BRIDGEPORT, CT
ZIP 06610-457
Phone: (203) 576-7534

The provider's authorized official is Mirian Evans .
The authorized official title is Director Of Health and has the following contact phone number (203) 576-7680.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth ServiceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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