Optimus Health Care | |
471 Barnum Ave Bridgeport CT 06608-2409 | |
(203) 576-3885 | |
(203) 332-0376 |
Full Name | Optimus Health Care |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 471 Barnum Ave, Bridgeport, Connecticut |
Authorized Official Name and Position | Ludwig Spinelli (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2036963260 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Optimus Health Care 471 Barnum Ave Bridgeport CT 06608-2409 Ph: (203) 576-3885 | Optimus Health Care 471 Barnum Ave Bridgeport CT 06608-2409 Ph: (203) 576-3885 |
NPI Number | 1992871875 |
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Provider Enumeration Date | 11/24/2006 |
Last Update Date | 08/29/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992871875 | NPI | - | NPPES |
C00383 | Other | CT | MEDICARE PART B |
004235926 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 00073 (Connecticut) | Primary |
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