Optimus Health Care Inc | |
3180 Main St Ste G1 Bridgeport CT 06606-4237 | |
(203) 371-7111 | |
(203) 375-5636 |
Full Name | Optimus Health Care Inc |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 3180 Main St Ste G1, Bridgeport, Connecticut |
Authorized Official Name and Position | Ludwig Spinelli (CEO) |
Authorized Official Contact | 2036963260 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Optimus Health Care Inc 982 E Main St Bridgeport CT 06608-1913 Ph: (203) 696-3260 | Optimus Health Care Inc 3180 Main St Ste G1 Bridgeport CT 06606-4237 Ph: (203) 371-7111 |
NPI Number | 1235485236 |
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Provider Enumeration Date | 07/27/2012 |
Last Update Date | 07/27/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235485236 | NPI | - | NPPES |
004234788 | Medicaid | CT | |
C00383 | Other | CT | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0592 (Connecticut) | Primary |
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