OPTIMUS HEALTH CARE INC NPI 1346516317

NPI Information

NPI: 1346516317
Provider Name: OPTIMUS HEALTH CARE INC

Doing Business As: JP MORGAN CHASE WELLNESS CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1071 E MAIN ST
BRIDGEPORT, CT
ZIP 06608
Phone: (203) 330-2783
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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 1346516317. The provider is registered as an organization entity type.
The provider Is Doing Business As Jp Morgan Chase Wellness Center.

The provider's business location address is:

1071 E MAIN ST
BRIDGEPORT, CT
ZIP 06608-618
Phone: (203) 330-2783
Fax: (203) 337-8197

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

The enumeration date for this NPI number is 3/23/2012 and was last updated on 3/23/2012.

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)	0386	COLORADO	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	071885	MEDICARE OSCAR/CERTIFICATION	CONNECTICUT
2	004234788	MEDICAID	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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