OPTIMUS HEALTH CARE INC NPI 1215207782

NPI Information

NPI: 1215207782
Provider Name: OPTIMUS HEALTH CARE INC

Doing Business As: HOLLOW COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
82 GEORGE ST
BRIDGEPORT, CT
ZIP 06604
Phone: (203) 579-3881
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OPTIMUS HEALTH CARE INC is a federally qualified health center (fqhc) clinic center in Bridgeport, CT. OPTIMUS HEALTH CARE INC NPI is 1215207782. The provider is registered as an organization entity type.
The provider Is Doing Business As Hollow Community Health Center.

The provider's business location address is:

82 GEORGE ST
BRIDGEPORT, CT
ZIP 06604-315
Phone: (203) 579-3881
Fax: (203) 332-0376

The provider's authorized official is Ludwig Spinelli .
The authorized official title is Chief Executive Officer and has the following contact phone number (203) 696-3260.

The enumeration date for this NPI number is 12/30/2011 and was last updated on 12/30/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	0427	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C00383	OTHER	CONNECTICUT	MEDICARE PART B
2	004234788	MEDICAID	CONNECTICUT
3	071879	MEDICARE OSCAR/CERTIFICATION	CONNECTICUT

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

NPI Synchronization or Removal

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