| Optimus Health Care Inc | |
|
982 E Main St Bridgeport CT 06608-1913 | |
| (203) 696-3260 | |
| (203) 332-0376 |
| Full Name | Optimus Health Care Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 982 E Main St, 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 Inc 982 E Main St Bridgeport CT 06608-1913 Ph: (203) 696-3260 | Optimus Health Care Inc 982 E Main St Bridgeport CT 06608-1913 Ph: (203) 696-3260 |
| NPI Number | 1659641363 |
|---|---|
| Provider Enumeration Date | 01/11/2012 |
| Last Update Date | 04/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659641363 | NPI | - | NPPES |
| 004234788 | Medicaid | CT | |
| C00383 | Other | CT | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0214 (Connecticut) | Primary |
Clinisanitas, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4543 Main St, Bridgeport, CT 06606 Phone: 305-921-7621 Fax: 305-921-7355 | |
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Wellington Provider Group Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Lafayette Blvd Ste 1100, Bridgeport, CT 06604 Phone: 859-518-8817 Fax: 859-201-1084 | |
Fairfield Clinical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 978 E Main St, Bridgeport, CT 06608 Phone: 203-549-1872 | |
Ambulatory Services Bridgeport Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 | |
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