Organization · Type 2 NPI
Optimus Health Care Inc
Federally Qualified Health Center (FQHC) · Stamford, CT
NPI number
1609142678
Active
Practice location
138 Stillwater Ave
Stamford, CT 06902-4843
Fax (203) 357-0276
Mailing address
982 E Main St
Bridgeport, CT 06608-1913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 0619 (CT) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1609142678
Optimus Health Care Inc's National Provider Identifier is 1609142678, issued on Mar 23, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Stamford, CT. The record was last updated on Jun 27, 2017.