CITY OF BRIDGEPORT HEALTH DEPT. SCHOOL BASED HEALTH CENTER NPI 1841319803

NPI Information

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 1841319803. The provider is registered as an organization entity type.
The provider Is Doing Business As Roosevelt Elementary School Based Health Center.

The provider's business location address is:

680 PARK AVE
BRIDGEPORT, CT
ZIP 06604-610
Phone: (203) 576-8090

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:

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