Organization · Type 2 NPI
City of Bridgeport Health Dept. School Based Health Center
Health Service Clinic/Center · Bridgeport, CT
NPI number
1124147244
Active
Practice location
700 Palisade Ave
Bridgeport, CT 06610-3457
Mailing address
752 E Main St
Bridgeport, CT 06608-2335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
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About NPI 1124147244
City of Bridgeport Health Dept. School Based Health Center's National Provider Identifier is 1124147244, issued on Mar 28, 2007. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Bridgeport, CT. The record was last updated on Aug 22, 2020.