Bridgeport Hospital | |
267 Grant St Bridgeport CT 06610-2805 | |
(203) 384-3775 | |
Not Available |
Full Name | Bridgeport Hospital |
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Speciality | Psychiatric Unit |
Location | 267 Grant St, Bridgeport, Connecticut |
Authorized Official Name and Position | Patrick Mccabe (SR. VP OF FINANCE & CFO) |
Authorized Official Contact | 2033843775 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bridgeport Hospital 267 Grant St Bridgeport CT 06610-2805 Ph: (203) 384-3775 | Bridgeport Hospital 267 Grant St Bridgeport CT 06610-2805 Ph: (203) 384-3775 |
NPI Number | 1609928134 |
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Provider Enumeration Date | 01/17/2007 |
Last Update Date | 07/07/2015 |
Medicare PECOS PAC ID | 2062312598 |
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Medicare Enrollment ID | O20110104000404 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609928134 | NPI | - | NPPES |
004041703 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 0040 (Connecticut) | Primary |
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