| Svmc Holdings, Inc | |
|
2800 Main St Bridgeport CT 06606-4201 | |
| (203) 576-5551 | |
| (206) 576-5345 |
| Full Name | Svmc Holdings, Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2800 Main St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Joanne M Rivera (MANAGER CREDENTIALING VERIFICATION) |
| Authorized Official Contact | 8609723075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Svmc Holdings, Inc 2800 Main St Bridgeport CT 06606-4201 Ph: (203) 576-5551 | Svmc Holdings, Inc 2800 Main St Bridgeport CT 06606-4201 Ph: (203) 576-5551 |
| NPI Number | 1154335909 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 03/08/2021 |
| Certification Date | 03/08/2021 |
| Medicare PECOS PAC ID | 5294066874 |
|---|---|
| Medicare Enrollment ID | O20191112002450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154335909 | NPI | - | NPPES |
| 004025185 | Medicaid | CT | |
| 004041893 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 0057 (Connecticut) | Primary |
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